Elmwood Nursing Home - Green Springs Nursing Home

General Information

UPDATE
Federal Provider Number
366336
Provider Name
ELMWOOD NURSING HOME
Provider Address
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Provider Phone Number
(419) 639-2581
Provider SSA County
730
Provider County Name
Sandusky
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD CENTERS, INC
Date First Approved to Provide Medicare and Medicaid services
2007-01-31
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
1
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
2.74516
Reported LPN Staffing Hours per Resident per Day
0.58871
Reported RN Staffing Hours per Resident per Day
0.78548
Reported Licensed Staffing Hours per Resident per Day
1.37419
Reported Total Nurse Staffing Hours per Resident per Day
4.11935
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07419
Expected CNA Staffing Hours per Resident per Day
2.64664
Expected LPN Staffing Hours per Resident per Day
0.68045
Expected RN Staffing Hours per Resident per Day
1.14468
Expected Total Nurse Staffing Hours per Resident per Day
4.47177
Adjusted CNA Staffing Hours per Resident per Day
2.54504
Adjusted LPN Staffing Hours per Resident per Day
0.71809
Adjusted RN Staffing Hours per Resident per Day
0.51273
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71322
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
16
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-20
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
22.00000
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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