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Columbus Alzheimer's Care Ctr - Columbus Nursing Home

General Information

UPDATE
Federal Provider Number
365839
Provider Name
COLUMBUS ALZHEIMER'S CARE CTR
Provider Address
700 JASONWAY AVENUE
COLUMBUS, OH 43214
Provider Phone Number
6144597050
Provider SSA County
250
Provider County Name
Franklin
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTHCARE VENTURES OF OHIO LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-28
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.31771
Reported LPN Staffing Hours per Resident per Day
0.68906
Reported RN Staffing Hours per Resident per Day
0.65573
Reported Licensed Staffing Hours per Resident per Day
1.34479
Reported Total Nurse Staffing Hours per Resident per Day
3.66250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04010
Expected CNA Staffing Hours per Resident per Day
2.60269
Expected LPN Staffing Hours per Resident per Day
0.74046
Expected RN Staffing Hours per Resident per Day
1.22562
Expected Total Nurse Staffing Hours per Resident per Day
4.56876
Adjusted CNA Staffing Hours per Resident per Day
2.18504
Adjusted LPN Staffing Hours per Resident per Day
0.77239
Adjusted RN Staffing Hours per Resident per Day
0.39977
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23133
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
12
Cycle 1 Standard Survey Health Date
2015-01-15
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
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
29
Cycle 3 Number of Complaint Health Deficiencies
23
Cycle 3 Health Deficiency Score
317
Cycle 3 Standard Health Survey Date
2013-08-07
Cycle 3 Number of Health Revisits
4
Cycle 3 Health Revisit Score
269
Cycle 3 Total Health Score
586
Total Weighted Health Survey Score
130.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
109240
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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