Court House Manor - Washington Ch Nursing Home
General Information
UPDATEFederal Provider Number
365928
Provider Name
COURT HOUSE MANOR
Provider Address
555 NORTH GLENN AVE
WASHINGTON CH, OH 43160
WASHINGTON CH, OH 43160
Provider Phone Number
(740) 335-9290
Provider SSA County
240
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF WASHINGTON, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-06-11
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
1
Health Inspection Rating Footnote
QM Rating
2
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
2.20316
Reported LPN Staffing Hours per Resident per Day
0.67895
Reported RN Staffing Hours per Resident per Day
0.77368
Reported Licensed Staffing Hours per Resident per Day
1.45263
Reported Total Nurse Staffing Hours per Resident per Day
3.65579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02579
Expected CNA Staffing Hours per Resident per Day
2.57039
Expected LPN Staffing Hours per Resident per Day
0.72477
Expected RN Staffing Hours per Resident per Day
1.23354
Expected Total Nurse Staffing Hours per Resident per Day
4.52869
Adjusted CNA Staffing Hours per Resident per Day
2.10314
Adjusted LPN Staffing Hours per Resident per Day
0.77753
Adjusted RN Staffing Hours per Resident per Day
0.46865
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25395
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
83
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
83
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
32
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
16
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
49.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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