Ohio Nursing Homes >> Bellville Nursing Homes >> Country Meadows Care Center

Country Meadows Care Center - Bellville Nursing Home

General Information

UPDATE
Federal Provider Number
366012
Provider Name
COUNTRY MEADOWS CARE CENTER
Provider Address
4910 ALGIRE RD
BELLVILLE, OH 44813
Provider Phone Number
(419) 886-3922
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY MEADOW FACILITY OPERATIONS
Date First Approved to Provide Medicare and Medicaid services
1995-04-12
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
4
Health Inspection Rating Footnote
QM Rating
4
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
1.76279
Reported LPN Staffing Hours per Resident per Day
0.60930
Reported RN Staffing Hours per Resident per Day
0.56744
Reported Licensed Staffing Hours per Resident per Day
1.17674
Reported Total Nurse Staffing Hours per Resident per Day
2.93953
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03837
Expected CNA Staffing Hours per Resident per Day
2.37240
Expected LPN Staffing Hours per Resident per Day
0.61461
Expected RN Staffing Hours per Resident per Day
1.04786
Expected Total Nurse Staffing Hours per Resident per Day
4.03487
Adjusted CNA Staffing Hours per Resident per Day
1.82320
Adjusted LPN Staffing Hours per Resident per Day
0.82282
Adjusted RN Staffing Hours per Resident per Day
0.40463
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93663
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
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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