Crestwood Ridge Skilled Nursing And Rehab - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
365934
Provider Name
CRESTWOOD RIDGE SKILLED NURSING AND REHAB
Provider Address
141 WILLETTSVILLE PIKE
HILLSBORO, OH 45133
HILLSBORO, OH 45133
Provider Phone Number
(937) 393-6700
Provider SSA County
370
Provider County Name
Highland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTWOOD RIDGE NURSING AND REHABILITATION INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-22
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
5
Health Inspection Rating Footnote
QM Rating
3
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
1.70444
Reported LPN Staffing Hours per Resident per Day
0.86667
Reported RN Staffing Hours per Resident per Day
0.55444
Reported Licensed Staffing Hours per Resident per Day
1.42111
Reported Total Nurse Staffing Hours per Resident per Day
3.12555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02222
Expected CNA Staffing Hours per Resident per Day
2.55384
Expected LPN Staffing Hours per Resident per Day
0.68779
Expected RN Staffing Hours per Resident per Day
1.22291
Expected Total Nurse Staffing Hours per Resident per Day
4.46454
Adjusted CNA Staffing Hours per Resident per Day
1.63760
Adjusted LPN Staffing Hours per Resident per Day
1.04587
Adjusted RN Staffing Hours per Resident per Day
0.33876
Adjusted Total Nurse Staffing Hours per Resident per Day
2.82197
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
2015-01-29
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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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