Country Pointe - Wooster Nursing Home
General Information
UPDATEFederal Provider Number
366230
Provider Name
COUNTRY POINTE
Provider Address
3071 NORTH ELYRIA ROAD
WOOSTER, OH 44691
WOOSTER, OH 44691
Provider Phone Number
(330) 264-2446
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY POINTE, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-12-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32024
Reported LPN Staffing Hours per Resident per Day
0.90119
Reported RN Staffing Hours per Resident per Day
0.67143
Reported Licensed Staffing Hours per Resident per Day
1.57262
Reported Total Nurse Staffing Hours per Resident per Day
3.89286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02024
Expected CNA Staffing Hours per Resident per Day
2.10634
Expected LPN Staffing Hours per Resident per Day
0.60825
Expected RN Staffing Hours per Resident per Day
1.38580
Expected Total Nurse Staffing Hours per Resident per Day
4.10039
Adjusted CNA Staffing Hours per Resident per Day
2.70288
Adjusted LPN Staffing Hours per Resident per Day
1.22974
Adjusted RN Staffing Hours per Resident per Day
0.36202
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82688
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-15
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
12
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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