Garden Manor Extended Care Center, Inc - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
365209
Provider Name
GARDEN MANOR EXTENDED CARE CENTER, INC
Provider Address
6898 HAMILTON MIDDLETOWN ROAD
MIDDLETOWN, OH 45044
MIDDLETOWN, OH 45044
Provider Phone Number
(513) 424-5321
Provider SSA County
80
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GARDEN MANOR EXTENDED CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1968-10-11
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.72288
Reported LPN Staffing Hours per Resident per Day
1.31471
Reported RN Staffing Hours per Resident per Day
0.63856
Reported Licensed Staffing Hours per Resident per Day
1.95327
Reported Total Nurse Staffing Hours per Resident per Day
4.67615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03725
Expected CNA Staffing Hours per Resident per Day
2.59307
Expected LPN Staffing Hours per Resident per Day
0.73744
Expected RN Staffing Hours per Resident per Day
1.20986
Expected Total Nurse Staffing Hours per Resident per Day
4.54038
Adjusted CNA Staffing Hours per Resident per Day
2.57653
Adjusted LPN Staffing Hours per Resident per Day
1.47972
Adjusted RN Staffing Hours per Resident per Day
0.39437
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15144
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
12
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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