Ohio Nursing Homes >> Loudonville Nursing Homes >> Colonial Manor Health Care Cen

Colonial Manor Health Care Cen - Loudonville Nursing Home

General Information

UPDATE
Federal Provider Number
365755
Provider Name
COLONIAL MANOR HEALTH CARE CEN
Provider Address
747 S MT VERNON AVE
LOUDONVILLE, OH 44842
Provider Phone Number
(419) 994-4191
Provider SSA County
20
Provider County Name
Ashland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL MANOR HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-09-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15530
Reported LPN Staffing Hours per Resident per Day
0.93939
Reported RN Staffing Hours per Resident per Day
0.85530
Reported Licensed Staffing Hours per Resident per Day
1.79470
Reported Total Nurse Staffing Hours per Resident per Day
3.94999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01212
Expected CNA Staffing Hours per Resident per Day
2.46490
Expected LPN Staffing Hours per Resident per Day
0.63864
Expected RN Staffing Hours per Resident per Day
1.00881
Expected Total Nurse Staffing Hours per Resident per Day
4.11235
Adjusted CNA Staffing Hours per Resident per Day
2.14550
Adjusted LPN Staffing Hours per Resident per Day
1.22087
Adjusted RN Staffing Hours per Resident per Day
0.63350
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87176
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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