Diversicare Of St Theresa - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
365946
Provider Name
DIVERSICARE OF ST THERESA
Provider Address
7010 ROWAN HILL DRIVE
CINCINNATI, OH 45227
CINCINNATI, OH 45227
Provider Phone Number
(513) 271-7010
Provider SSA County
310
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF ST THERESA LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-17
Continuing Care Retirement Community
Y
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
4
QM Rating Footnote
Staffing Rating
3
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
2.45000
Reported LPN Staffing Hours per Resident per Day
1.11012
Reported RN Staffing Hours per Resident per Day
0.71310
Reported Licensed Staffing Hours per Resident per Day
1.82321
Reported Total Nurse Staffing Hours per Resident per Day
4.27322
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14226
Expected CNA Staffing Hours per Resident per Day
2.35111
Expected LPN Staffing Hours per Resident per Day
0.62897
Expected RN Staffing Hours per Resident per Day
1.16808
Expected Total Nurse Staffing Hours per Resident per Day
4.14816
Adjusted CNA Staffing Hours per Resident per Day
2.55690
Adjusted LPN Staffing Hours per Resident per Day
1.46494
Adjusted RN Staffing Hours per Resident per Day
0.45616
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15243
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2011-12-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
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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