Echo Manor Extended Care Ctr - Pickerington Nursing Home

General Information

UPDATE
Federal Provider Number
365881
Provider Name
ECHO MANOR EXTENDED CARE CTR
Provider Address
10270 BLACKLICK EASTERN ROAD NW
PICKERINGTON, OH 43147
Provider Phone Number
(614) 864-1718
Provider SSA County
230
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDINBURGH CARE RESOURCES LLC
Date First Approved to Provide Medicare and Medicaid services
1992-07-09
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
2
Health Inspection Rating Footnote
QM Rating
5
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
1.88313
Reported LPN Staffing Hours per Resident per Day
0.75813
Reported RN Staffing Hours per Resident per Day
1.05813
Reported Licensed Staffing Hours per Resident per Day
1.81625
Reported Total Nurse Staffing Hours per Resident per Day
3.69939
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07125
Expected CNA Staffing Hours per Resident per Day
2.60352
Expected LPN Staffing Hours per Resident per Day
0.76101
Expected RN Staffing Hours per Resident per Day
1.37131
Expected Total Nurse Staffing Hours per Resident per Day
4.73584
Adjusted CNA Staffing Hours per Resident per Day
1.77476
Adjusted LPN Staffing Hours per Resident per Day
0.82686
Adjusted RN Staffing Hours per Resident per Day
0.57656
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14873
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-22
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
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
3200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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