Forest Hills Center - Columbus Nursing Home

General Information

UPDATE
Federal Provider Number
365980
Provider Name
FOREST HILLS CENTER
Provider Address
2841 EAST DUBLIN-GRANVILLE ROAD
COLUMBUS, OH 43231
Provider Phone Number
(614) 891-1111
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMBASSY FOREST HILLS
Date First Approved to Provide Medicare and Medicaid services
1994-11-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
3
QM Rating Footnote
Staffing Rating
3
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
2.45068
Reported LPN Staffing Hours per Resident per Day
0.61959
Reported RN Staffing Hours per Resident per Day
0.60541
Reported Licensed Staffing Hours per Resident per Day
1.22500
Reported Total Nurse Staffing Hours per Resident per Day
3.67568
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01959
Expected CNA Staffing Hours per Resident per Day
2.74080
Expected LPN Staffing Hours per Resident per Day
0.66160
Expected RN Staffing Hours per Resident per Day
1.07750
Expected Total Nurse Staffing Hours per Resident per Day
4.47989
Adjusted CNA Staffing Hours per Resident per Day
2.19397
Adjusted LPN Staffing Hours per Resident per Day
0.77730
Adjusted RN Staffing Hours per Resident per Day
0.41983
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30729
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
24
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.66700
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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