Covington Skilled Nursing & Rehab Center - East Palestine Nursing Home

General Information

UPDATE
Federal Provider Number
366378
Provider Name
COVINGTON SKILLED NURSING & REHAB CENTER
Provider Address
100 COVINGTON DRIVE
EAST PALESTINE, OH 44413
Provider Phone Number
3304262920
Provider SSA County
140
Provider County Name
Columbiana
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVINGTON SNF INC.
Date First Approved to Provide Medicare and Medicaid services
2009-10-01
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
1
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
1.91613
Reported LPN Staffing Hours per Resident per Day
0.60484
Reported RN Staffing Hours per Resident per Day
0.66371
Reported Licensed Staffing Hours per Resident per Day
1.26855
Reported Total Nurse Staffing Hours per Resident per Day
3.18468
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05968
Expected CNA Staffing Hours per Resident per Day
2.33552
Expected LPN Staffing Hours per Resident per Day
0.70388
Expected RN Staffing Hours per Resident per Day
1.34465
Expected Total Nurse Staffing Hours per Resident per Day
4.38406
Adjusted CNA Staffing Hours per Resident per Day
2.01308
Adjusted LPN Staffing Hours per Resident per Day
0.71321
Adjusted RN Staffing Hours per Resident per Day
0.36881
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92814
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-09-10
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
50.66700
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

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