Crossroads Rehabilitation & Nursing - Vandalia Nursing Home
General Information
UPDATEFederal Provider Number
366035
Provider Name
CROSSROADS REHABILITATION & NURSING
Provider Address
208 NORTH CASSEL ROAD
VANDALIA, OH 45377
VANDALIA, OH 45377
Provider Phone Number
(937) 898-4202
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
139
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-11-10
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35382
Reported LPN Staffing Hours per Resident per Day
1.09618
Reported RN Staffing Hours per Resident per Day
0.55763
Reported Licensed Staffing Hours per Resident per Day
1.65382
Reported Total Nurse Staffing Hours per Resident per Day
4.00763
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02710
Expected CNA Staffing Hours per Resident per Day
2.53179
Expected LPN Staffing Hours per Resident per Day
0.73150
Expected RN Staffing Hours per Resident per Day
1.19585
Expected Total Nurse Staffing Hours per Resident per Day
4.45914
Adjusted CNA Staffing Hours per Resident per Day
2.28122
Adjusted LPN Staffing Hours per Resident per Day
1.24379
Adjusted RN Staffing Hours per Resident per Day
0.34842
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62275
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
51.33300
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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