Diversicare Of Siena Woods - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
365819
Provider Name
DIVERSICARE OF SIENA WOODS
Provider Address
6125 N MAIN STREET
DAYTON, OH 45415
DAYTON, OH 45415
Provider Phone Number
(937) 278-8211
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF SIENA WOODS LLC
Date First Approved to Provide Medicare and Medicaid services
1990-11-21
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.15824
Reported LPN Staffing Hours per Resident per Day
0.96758
Reported RN Staffing Hours per Resident per Day
0.70604
Reported Licensed Staffing Hours per Resident per Day
1.67363
Reported Total Nurse Staffing Hours per Resident per Day
3.83186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03077
Expected CNA Staffing Hours per Resident per Day
2.42904
Expected LPN Staffing Hours per Resident per Day
0.78399
Expected RN Staffing Hours per Resident per Day
1.50936
Expected Total Nurse Staffing Hours per Resident per Day
4.72240
Adjusted CNA Staffing Hours per Resident per Day
2.18015
Adjusted LPN Staffing Hours per Resident per Day
1.02436
Adjusted RN Staffing Hours per Resident per Day
0.34952
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27076
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-09-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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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