Forest Hill Retirement Community - St Clairsville Nursing Home
General Information
UPDATEFederal Provider Number
365696
Provider Name
FOREST HILL RETIREMENT COMMUNITY
Provider Address
100 RESERVOIR ROAD
ST CLAIRSVILLE, OH 43950
ST CLAIRSVILLE, OH 43950
Provider Phone Number
(740) 695-7233
Provider SSA County
60
Provider County Name
Belmont
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZANDEX HEALTH CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1987-04-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83483
Reported LPN Staffing Hours per Resident per Day
0.71742
Reported RN Staffing Hours per Resident per Day
0.67472
Reported Licensed Staffing Hours per Resident per Day
1.39213
Reported Total Nurse Staffing Hours per Resident per Day
3.22697
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02416
Expected CNA Staffing Hours per Resident per Day
2.41858
Expected LPN Staffing Hours per Resident per Day
0.64673
Expected RN Staffing Hours per Resident per Day
1.10372
Expected Total Nurse Staffing Hours per Resident per Day
4.16903
Adjusted CNA Staffing Hours per Resident per Day
1.86147
Adjusted LPN Staffing Hours per Resident per Day
0.92072
Adjusted RN Staffing Hours per Resident per Day
0.45678
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12005
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
6
Cycle 3 Total Health Score
18
Total Weighted Health Survey Score
43.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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