Coshocton Springs Health And Rehab Center - Coshocton Nursing Home
General Information
UPDATEFederal Provider Number
365890
Provider Name
COSHOCTON SPRINGS HEALTH AND REHAB CENTER
Provider Address
1991 OTSEGO AVENUE
COSHOCTON, OH 43812
COSHOCTON, OH 43812
Provider Phone Number
(740) 622-2074
Provider SSA County
150
Provider County Name
Coshocton
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
74
Number of Residents in Certified Beds
69
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
1992-11-30
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.82754
Reported LPN Staffing Hours per Resident per Day
0.84058
Reported RN Staffing Hours per Resident per Day
0.84710
Reported Licensed Staffing Hours per Resident per Day
1.68768
Reported Total Nurse Staffing Hours per Resident per Day
3.51522
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00797
Expected CNA Staffing Hours per Resident per Day
2.42929
Expected LPN Staffing Hours per Resident per Day
0.61916
Expected RN Staffing Hours per Resident per Day
1.02283
Expected Total Nurse Staffing Hours per Resident per Day
4.07128
Adjusted CNA Staffing Hours per Resident per Day
1.84591
Adjusted LPN Staffing Hours per Resident per Day
1.12682
Adjusted RN Staffing Hours per Resident per Day
0.61883
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48036
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-27
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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