Forest View Care & Rehabilitation Center - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
365981
Provider Name
FOREST VIEW CARE & REHABILITATION CENTER
Provider Address
323 FOREST AVENUE
DAYTON, OH 45405
DAYTON, OH 45405
Provider Phone Number
(937) 224-0793
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE OF DAYTON LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1994-12-09
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
4
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
1.58898
Reported LPN Staffing Hours per Resident per Day
0.94915
Reported RN Staffing Hours per Resident per Day
0.85169
Reported Licensed Staffing Hours per Resident per Day
1.80085
Reported Total Nurse Staffing Hours per Resident per Day
3.38982
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09661
Expected CNA Staffing Hours per Resident per Day
1.89836
Expected LPN Staffing Hours per Resident per Day
0.61492
Expected RN Staffing Hours per Resident per Day
1.02205
Expected Total Nurse Staffing Hours per Resident per Day
3.53532
Adjusted CNA Staffing Hours per Resident per Day
2.05382
Adjusted LPN Staffing Hours per Resident per Day
1.28114
Adjusted RN Staffing Hours per Resident per Day
0.62266
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86500
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
2015-03-19
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
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
16
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.66700
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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