Eagle Creek Nursing Center - West Union Nursing Home
General Information
UPDATEFederal Provider Number
365586
Provider Name
EAGLE CREEK NURSING CENTER
Provider Address
141 SPRUCE LANE
WEST UNION, OH 45693
WEST UNION, OH 45693
Provider Phone Number
(937) 544-5531
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAGLE CREEK HEALTHCARE GROUP, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-08-19
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.14360
Reported LPN Staffing Hours per Resident per Day
0.57965
Reported RN Staffing Hours per Resident per Day
0.62035
Reported Licensed Staffing Hours per Resident per Day
1.20000
Reported Total Nurse Staffing Hours per Resident per Day
3.34360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01919
Expected CNA Staffing Hours per Resident per Day
2.33218
Expected LPN Staffing Hours per Resident per Day
0.72351
Expected RN Staffing Hours per Resident per Day
1.20478
Expected Total Nurse Staffing Hours per Resident per Day
4.26047
Adjusted CNA Staffing Hours per Resident per Day
2.25529
Adjusted LPN Staffing Hours per Resident per Day
0.66497
Adjusted RN Staffing Hours per Resident per Day
0.38474
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16344
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
20
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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