Centerburg Pointe - Centerburg Nursing Home
General Information
UPDATEFederal Provider Number
366299
Provider Name
CENTERBURG POINTE
Provider Address
4531 COLUMBUS ROAD
CENTERBURG, OH 43011
CENTERBURG, OH 43011
Provider Phone Number
(740) 625-5401
Provider SSA County
430
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTERBURG POINTE HEALTHCARE GROUP INC.
Date First Approved to Provide Medicare and Medicaid services
2004-08-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67250
Reported LPN Staffing Hours per Resident per Day
0.74875
Reported RN Staffing Hours per Resident per Day
0.88375
Reported Licensed Staffing Hours per Resident per Day
1.63250
Reported Total Nurse Staffing Hours per Resident per Day
3.30500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.54988
Expected LPN Staffing Hours per Resident per Day
0.84890
Expected RN Staffing Hours per Resident per Day
1.53430
Expected Total Nurse Staffing Hours per Resident per Day
4.93309
Adjusted CNA Staffing Hours per Resident per Day
1.60941
Adjusted LPN Staffing Hours per Resident per Day
0.73208
Adjusted RN Staffing Hours per Resident per Day
0.43038
Adjusted Total Nurse Staffing Hours per Resident per Day
2.70057
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
212
Cycle 1 Standard Survey Health Date
2014-08-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
212
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
142.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
7000
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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