Clermont Nursing Care Center, Inc - Milford Nursing Home
General Information
UPDATEFederal Provider Number
365443
Provider Name
CLERMONT NURSING CARE CENTER, INC
Provider Address
934 STATE ROUTE 28
MILFORD, OH 45150
MILFORD, OH 45150
Provider Phone Number
(513) 831-1770
Provider SSA County
120
Provider County Name
Clermont
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-04-03
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.97630
Reported LPN Staffing Hours per Resident per Day
0.95148
Reported RN Staffing Hours per Resident per Day
0.48000
Reported Licensed Staffing Hours per Resident per Day
1.43148
Reported Total Nurse Staffing Hours per Resident per Day
3.40778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00704
Expected CNA Staffing Hours per Resident per Day
2.37869
Expected LPN Staffing Hours per Resident per Day
0.68769
Expected RN Staffing Hours per Resident per Day
1.20226
Expected Total Nurse Staffing Hours per Resident per Day
4.26865
Adjusted CNA Staffing Hours per Resident per Day
2.03862
Adjusted LPN Staffing Hours per Resident per Day
1.14837
Adjusted RN Staffing Hours per Resident per Day
0.29832
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21798
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
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
8
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
1
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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