Ohio Nursing Homes >> Wellston Nursing Homes >> Edgewood Manor Of Wellston

Edgewood Manor Of Wellston - Wellston Nursing Home

General Information

UPDATE
Federal Provider Number
365939
Provider Name
EDGEWOOD MANOR OF WELLSTON
Provider Address
405 NORTH PARK AVENUE
WELLSTON, OH 45692
Provider Phone Number
(740) 384-5611
Provider SSA County
410
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELLSTON FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70658
Reported LPN Staffing Hours per Resident per Day
0.99211
Reported RN Staffing Hours per Resident per Day
0.43684
Reported Licensed Staffing Hours per Resident per Day
1.42895
Reported Total Nurse Staffing Hours per Resident per Day
4.13553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04342
Expected CNA Staffing Hours per Resident per Day
2.38373
Expected LPN Staffing Hours per Resident per Day
0.71171
Expected RN Staffing Hours per Resident per Day
1.24727
Expected Total Nurse Staffing Hours per Resident per Day
4.34271
Adjusted CNA Staffing Hours per Resident per Day
2.78603
Adjusted LPN Staffing Hours per Resident per Day
1.15700
Adjusted RN Staffing Hours per Resident per Day
0.26170
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83859
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.00000
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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