Columbus West Park Nsg & Rehab - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
365799
Provider Name
COLUMBUS WEST PARK NSG & REHAB
Provider Address
1700 HEINZERLING DRIVE
COLUMBUS, OH 43223
COLUMBUS, OH 43223
Provider Phone Number
(614) 274-4222
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBUS WEST HEALTH CARE COMPANY
Date First Approved to Provide Medicare and Medicaid services
1990-09-13
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
4
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
2.46609
Reported LPN Staffing Hours per Resident per Day
0.75460
Reported RN Staffing Hours per Resident per Day
0.68276
Reported Licensed Staffing Hours per Resident per Day
1.43736
Reported Total Nurse Staffing Hours per Resident per Day
3.90345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06552
Expected CNA Staffing Hours per Resident per Day
2.34664
Expected LPN Staffing Hours per Resident per Day
0.66640
Expected RN Staffing Hours per Resident per Day
1.20559
Expected Total Nurse Staffing Hours per Resident per Day
4.21863
Adjusted CNA Staffing Hours per Resident per Day
2.57860
Adjusted LPN Staffing Hours per Resident per Day
0.93985
Adjusted RN Staffing Hours per Resident per Day
0.42316
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72974
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
55.33300
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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