Circleville Center - Circleville Nursing Home

General Information

UPDATE
Federal Provider Number
365456
Provider Name
CIRCLEVILLE CENTER
Provider Address
1155 ATWATER AVENUE
CIRCLEVILLE, OH 43113
Provider Phone Number
(740) 477-1695
Provider SSA County
660
Provider County Name
Pickaway
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE CIRCLEVILLE HEALTH CARE CORP
Date First Approved to Provide Medicare and Medicaid services
1980-03-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11974
Reported LPN Staffing Hours per Resident per Day
0.76513
Reported RN Staffing Hours per Resident per Day
0.54605
Reported Licensed Staffing Hours per Resident per Day
1.31118
Reported Total Nurse Staffing Hours per Resident per Day
3.43092
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06711
Expected CNA Staffing Hours per Resident per Day
2.52187
Expected LPN Staffing Hours per Resident per Day
0.77576
Expected RN Staffing Hours per Resident per Day
1.30452
Expected Total Nurse Staffing Hours per Resident per Day
4.60215
Adjusted CNA Staffing Hours per Resident per Day
2.06244
Adjusted LPN Staffing Hours per Resident per Day
0.81863
Adjusted RN Staffing Hours per Resident per Day
0.31276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00505
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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