Cherith Care Center At Willow Brook - Delaware Nursing Home

General Information

UPDATE
Federal Provider Number
366246
Provider Name
CHERITH CARE CENTER AT WILLOW BROOK
Provider Address
100 WILLOW BROOK WAY, SOUTH
DELAWARE, OH 43015
Provider Phone Number
7403690048
Provider SSA County
210
Provider County Name
Delaware
Ownership Type
Non profit - Church related
Number of Certified Beds
34
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW BROOK CHRISTIAN SERVICES
Date First Approved to Provide Medicare and Medicaid services
2002-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.46600
Reported LPN Staffing Hours per Resident per Day
0.59200
Reported RN Staffing Hours per Resident per Day
1.50600
Reported Licensed Staffing Hours per Resident per Day
2.09800
Reported Total Nurse Staffing Hours per Resident per Day
5.56400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02800
Expected CNA Staffing Hours per Resident per Day
2.42779
Expected LPN Staffing Hours per Resident per Day
0.63117
Expected RN Staffing Hours per Resident per Day
1.10033
Expected Total Nurse Staffing Hours per Resident per Day
4.15929
Adjusted CNA Staffing Hours per Resident per Day
3.50300
Adjusted LPN Staffing Hours per Resident per Day
0.77849
Adjusted RN Staffing Hours per Resident per Day
1.02268
Adjusted Total Nurse Staffing Hours per Resident per Day
5.39226
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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