Ohio Nursing Homes >> Westerville Nursing Homes >> Edgewood Manor Of Westerville

Edgewood Manor Of Westerville - Westerville Nursing Home

General Information

UPDATE
Federal Provider Number
365933
Provider Name
EDGEWOOD MANOR OF WESTERVILLE
Provider Address
140 N STATE STREET
WESTERVILLE, OH 43081
Provider Phone Number
6148824055
Provider SSA County
250
Provider County Name
Franklin
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTERVILLE FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-29
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
1.85377
Reported LPN Staffing Hours per Resident per Day
0.90849
Reported RN Staffing Hours per Resident per Day
1.11604
Reported Licensed Staffing Hours per Resident per Day
2.02453
Reported Total Nurse Staffing Hours per Resident per Day
3.87830
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09717
Expected CNA Staffing Hours per Resident per Day
2.32301
Expected LPN Staffing Hours per Resident per Day
0.66898
Expected RN Staffing Hours per Resident per Day
1.18900
Expected Total Nurse Staffing Hours per Resident per Day
4.18099
Adjusted CNA Staffing Hours per Resident per Day
1.95806
Adjusted LPN Staffing Hours per Resident per Day
1.12715
Adjusted RN Staffing Hours per Resident per Day
0.70135
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73908
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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