Country View Of Sunbury - Sunbury Nursing Home
General Information
UPDATEFederal Provider Number
365776
Provider Name
COUNTRY VIEW OF SUNBURY
Provider Address
14961 N OLD 3C HIGHWAY
SUNBURY, OH 43074
SUNBURY, OH 43074
Provider Phone Number
(740) 965-3984
Provider SSA County
210
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORNING VIEW DELAWARE, INC
Date First Approved to Provide Medicare and Medicaid services
1990-01-11
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.46019
Reported LPN Staffing Hours per Resident per Day
0.73102
Reported RN Staffing Hours per Resident per Day
0.64167
Reported Licensed Staffing Hours per Resident per Day
1.37269
Reported Total Nurse Staffing Hours per Resident per Day
3.83288
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05741
Expected CNA Staffing Hours per Resident per Day
2.54353
Expected LPN Staffing Hours per Resident per Day
0.74255
Expected RN Staffing Hours per Resident per Day
1.25485
Expected Total Nurse Staffing Hours per Resident per Day
4.54093
Adjusted CNA Staffing Hours per Resident per Day
2.37330
Adjusted LPN Staffing Hours per Resident per Day
0.81712
Adjusted RN Staffing Hours per Resident per Day
0.38208
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40238
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
163
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
163
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
59.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
27950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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