Eaglewood Care Center - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
365684
Provider Name
EAGLEWOOD CARE CENTER
Provider Address
2000 VILLA ROAD
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
Provider Phone Number
(937) 399-7195
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAND MANOR NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-06-11
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
0.00000
Reported LPN Staffing Hours per Resident per Day
0.87634
Reported RN Staffing Hours per Resident per Day
0.96828
Reported Licensed Staffing Hours per Resident per Day
1.84462
Reported Total Nurse Staffing Hours per Resident per Day
1.84462
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06129
Expected CNA Staffing Hours per Resident per Day
2.40362
Expected LPN Staffing Hours per Resident per Day
0.70095
Expected RN Staffing Hours per Resident per Day
1.19505
Expected Total Nurse Staffing Hours per Resident per Day
4.29962
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
1.03768
Adjusted RN Staffing Hours per Resident per Day
0.60541
Adjusted Total Nurse Staffing Hours per Resident per Day
1.72934
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
28
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3705
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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