Friends Extended Care Center - Yellow Springs Nursing Home
General Information
UPDATEFederal Provider Number
365538
Provider Name
FRIENDS EXTENDED CARE CENTER
Provider Address
150 EAST HERMAN STREET
YELLOW SPRINGS, OH 45387
YELLOW SPRINGS, OH 45387
Provider Phone Number
(937) 767-7363
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDS HEALTH CARE ASSOCIATION, INC
Date First Approved to Provide Medicare and Medicaid services
1980-10-29
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.51389
Reported LPN Staffing Hours per Resident per Day
1.23241
Reported RN Staffing Hours per Resident per Day
0.70093
Reported Licensed Staffing Hours per Resident per Day
1.93333
Reported Total Nurse Staffing Hours per Resident per Day
4.44723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.30694
Expected LPN Staffing Hours per Resident per Day
0.64882
Expected RN Staffing Hours per Resident per Day
1.10886
Expected Total Nurse Staffing Hours per Resident per Day
4.06461
Adjusted CNA Staffing Hours per Resident per Day
2.67382
Adjusted LPN Staffing Hours per Resident per Day
1.57656
Adjusted RN Staffing Hours per Resident per Day
0.47232
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41035
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
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
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1885
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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