Columbus Colony Elderly Care - Westerville Nursing Home
General Information
UPDATEFederal Provider Number
365421
Provider Name
COLUMBUS COLONY ELDERLY CARE
Provider Address
1150 COLONY DRIVE
WESTERVILLE, OH 43081
WESTERVILLE, OH 43081
Provider Phone Number
(614) 891-5055
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
150
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBUS COLONY FOR ELDERLY CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1979-08-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.35574
Reported LPN Staffing Hours per Resident per Day
0.70615
Reported RN Staffing Hours per Resident per Day
0.77582
Reported Licensed Staffing Hours per Resident per Day
1.48197
Reported Total Nurse Staffing Hours per Resident per Day
3.83771
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04344
Expected CNA Staffing Hours per Resident per Day
2.40847
Expected LPN Staffing Hours per Resident per Day
0.73390
Expected RN Staffing Hours per Resident per Day
1.13456
Expected Total Nurse Staffing Hours per Resident per Day
4.27692
Adjusted CNA Staffing Hours per Resident per Day
2.39998
Adjusted LPN Staffing Hours per Resident per Day
0.79862
Adjusted RN Staffing Hours per Resident per Day
0.51094
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61695
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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