Crystal Care Center Of Portsmouth - Portsmouth Nursing Home

General Information

UPDATE
Federal Provider Number
365867
Provider Name
CRYSTAL CARE CENTER OF PORTSMOUTH
Provider Address
1319 SPRING STREET
PORTSMOUTH, OH 45662
Provider Phone Number
(740) 354-6619
Provider SSA County
740
Provider County Name
Scioto
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MCKENNA HEALTH CARE OF PORTSMOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
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
3.25000
Reported LPN Staffing Hours per Resident per Day
1.47750
Reported RN Staffing Hours per Resident per Day
0.79500
Reported Licensed Staffing Hours per Resident per Day
2.27250
Reported Total Nurse Staffing Hours per Resident per Day
5.52250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01500
Expected CNA Staffing Hours per Resident per Day
2.31065
Expected LPN Staffing Hours per Resident per Day
0.67615
Expected RN Staffing Hours per Resident per Day
1.20645
Expected Total Nurse Staffing Hours per Resident per Day
4.19325
Adjusted CNA Staffing Hours per Resident per Day
3.45120
Adjusted LPN Staffing Hours per Resident per Day
1.81369
Adjusted RN Staffing Hours per Resident per Day
0.49237
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30868
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2011-08-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
188
Total Weighted Health Survey Score
118.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
6750
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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