Country Court - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
365269
Provider Name
COUNTRY COURT
Provider Address
1076 COSHOCTON AVE
MOUNT VERNON, OH 43050
MOUNT VERNON, OH 43050
Provider Phone Number
7403974125
Provider SSA County
430
Provider County Name
Knox
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEVERING MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-08-17
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
2.41154
Reported LPN Staffing Hours per Resident per Day
0.80077
Reported RN Staffing Hours per Resident per Day
1.11000
Reported Licensed Staffing Hours per Resident per Day
1.91077
Reported Total Nurse Staffing Hours per Resident per Day
4.32231
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08769
Expected CNA Staffing Hours per Resident per Day
2.40759
Expected LPN Staffing Hours per Resident per Day
0.77603
Expected RN Staffing Hours per Resident per Day
1.20634
Expected Total Nurse Staffing Hours per Resident per Day
4.38996
Adjusted CNA Staffing Hours per Resident per Day
2.45772
Adjusted LPN Staffing Hours per Resident per Day
0.85646
Adjusted RN Staffing Hours per Resident per Day
0.68753
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96878
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
44
Cycle 2 Standard Health Survey Date
2013-12-12
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Country Club Retirement Center
1350 Yauger Road |
MOUNT VERNON OH 43050 | 0.5 mile away
Ohio Eastern Star Hlth Care Ctr The
1451 Gambier Road |
MOUNT VERNON OH 43050 | 1 mile away
Laurels Of Mt Vernon The
13 Avalon Road |
MOUNT VERNON OH 43050 | 1.2 miles away
Whispering Hills Care Center
416 Wooster Road |
MOUNT VERNON OH 43050 | 1.3 miles away
Mount Vernon Health And Rehabilitation Center
1135 Gambier Road |
MOUNT VERNON OH 43050 | 1.3 miles away
Centerburg Pointe
4531 Columbus Road |
CENTERBURG OH 43011 | 14.2 miles away
Heartland Of Centerburg
212 Fairview Avenue |
CENTERBURG OH 43011 | 14.8 miles away
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