Essex Of Springfield - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
365420
Provider Name
ESSEX OF SPRINGFIELD
Provider Address
2317 EAST HOME ROAD
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
Provider Phone Number
(937) 399-9217
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1979-07-19
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
3
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.98750
Reported LPN Staffing Hours per Resident per Day
0.91389
Reported RN Staffing Hours per Resident per Day
0.51898
Reported Licensed Staffing Hours per Resident per Day
1.43287
Reported Total Nurse Staffing Hours per Resident per Day
3.42037
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03241
Expected CNA Staffing Hours per Resident per Day
2.48626
Expected LPN Staffing Hours per Resident per Day
0.78956
Expected RN Staffing Hours per Resident per Day
1.45053
Expected Total Nurse Staffing Hours per Resident per Day
4.72635
Adjusted CNA Staffing Hours per Resident per Day
1.96147
Adjusted LPN Staffing Hours per Resident per Day
0.96070
Adjusted RN Staffing Hours per Resident per Day
0.26734
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91709
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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