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Cridersville Healthcare Center - Cridersville Nursing Home

General Information

UPDATE
Federal Provider Number
366171
Provider Name
CRIDERSVILLE HEALTHCARE CENTER
Provider Address
603 EAST MAIN STREET
CRIDERSVILLE, OH 45806
Provider Phone Number
(419) 645-4468
Provider SSA County
50
Provider County Name
Auglaize
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTHCARE VENTURES OF OHIO LLC
Date First Approved to Provide Medicare and Medicaid services
1999-01-22
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
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89706
Reported LPN Staffing Hours per Resident per Day
0.19706
Reported RN Staffing Hours per Resident per Day
1.14118
Reported Licensed Staffing Hours per Resident per Day
1.33824
Reported Total Nurse Staffing Hours per Resident per Day
3.23530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01618
Expected CNA Staffing Hours per Resident per Day
2.38353
Expected LPN Staffing Hours per Resident per Day
0.74397
Expected RN Staffing Hours per Resident per Day
1.33432
Expected Total Nurse Staffing Hours per Resident per Day
4.46183
Adjusted CNA Staffing Hours per Resident per Day
1.95291
Adjusted LPN Staffing Hours per Resident per Day
0.21985
Adjusted RN Staffing Hours per Resident per Day
0.63904
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92283
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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