Chapel Hill Community - Canal Fulton Nursing Home
General Information
UPDATEFederal Provider Number
365494
Provider Name
CHAPEL HILL COMMUNITY
Provider Address
12200 STRAUSSER ST NW
CANAL FULTON, OH 44614
CANAL FULTON, OH 44614
Provider Phone Number
(330) 854-4177
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED CHURCH HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-04-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.18737
Reported LPN Staffing Hours per Resident per Day
1.07727
Reported RN Staffing Hours per Resident per Day
0.78131
Reported Licensed Staffing Hours per Resident per Day
1.85859
Reported Total Nurse Staffing Hours per Resident per Day
4.04595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09596
Expected CNA Staffing Hours per Resident per Day
2.52563
Expected LPN Staffing Hours per Resident per Day
0.67925
Expected RN Staffing Hours per Resident per Day
1.14200
Expected Total Nurse Staffing Hours per Resident per Day
4.34688
Adjusted CNA Staffing Hours per Resident per Day
2.12507
Adjusted LPN Staffing Hours per Resident per Day
1.31636
Adjusted RN Staffing Hours per Resident per Day
0.51120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75184
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
6572
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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