Crystal Care Center Of Franklin Furnace - Franklin Furnace Nursing Home
General Information
UPDATEFederal Provider Number
366003
Provider Name
CRYSTAL CARE CENTER OF FRANKLIN FURNACE
Provider Address
4734 GALLIA PIKE
FRANKLIN FURNACE, OH 45629
FRANKLIN FURNACE, OH 45629
Provider Phone Number
(740) 354-9151
Provider SSA County
740
Provider County Name
Scioto
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
30
Number of Residents in Certified Beds
20
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
1995-04-19
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.66750
Reported LPN Staffing Hours per Resident per Day
1.03000
Reported RN Staffing Hours per Resident per Day
0.69750
Reported Licensed Staffing Hours per Resident per Day
1.72750
Reported Total Nurse Staffing Hours per Resident per Day
4.39500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01500
Expected CNA Staffing Hours per Resident per Day
2.33174
Expected LPN Staffing Hours per Resident per Day
0.67610
Expected RN Staffing Hours per Resident per Day
1.20192
Expected Total Nurse Staffing Hours per Resident per Day
4.20976
Adjusted CNA Staffing Hours per Resident per Day
2.80702
Adjusted LPN Staffing Hours per Resident per Day
1.26445
Adjusted RN Staffing Hours per Resident per Day
0.43362
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20827
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
0
Cycle 1 Standard Survey Health Date
2014-05-29
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
1
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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