Dayspring Of Miami Valley Hlth Care Center & Rehab - Fairborn Nursing Home
General Information
UPDATEFederal Provider Number
366151
Provider Name
DAYSPRING OF MIAMI VALLEY HLTH CARE CENTER & REHAB
Provider Address
8001 DAYTON SPRINGFIELD ROAD
FAIRBORN, OH 45324
FAIRBORN, OH 45324
Provider Phone Number
(937) 864-5800
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HIGH-DAY LLC
Date First Approved to Provide Medicare and Medicaid services
1998-01-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
1.95189
Reported LPN Staffing Hours per Resident per Day
0.56932
Reported RN Staffing Hours per Resident per Day
0.94773
Reported Licensed Staffing Hours per Resident per Day
1.51705
Reported Total Nurse Staffing Hours per Resident per Day
3.46894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14545
Expected CNA Staffing Hours per Resident per Day
2.49564
Expected LPN Staffing Hours per Resident per Day
0.72249
Expected RN Staffing Hours per Resident per Day
1.28582
Expected Total Nurse Staffing Hours per Resident per Day
4.50395
Adjusted CNA Staffing Hours per Resident per Day
1.91909
Adjusted LPN Staffing Hours per Resident per Day
0.65404
Adjusted RN Staffing Hours per Resident per Day
0.55073
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10460
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
2014-09-11
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
5
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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