Gardens Of Paulding - Paulding Nursing Home
General Information
UPDATEFederal Provider Number
366044
Provider Name
GARDENS OF PAULDING
Provider Address
199 COUNTY ROAD 103
PAULDING, OH 45879
PAULDING, OH 45879
Provider Phone Number
(419) 399-4940
Provider SSA County
640
Provider County Name
Paulding
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTHCARE VENTURES OF OHIO LLC
Date First Approved to Provide Medicare and Medicaid services
1996-02-20
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.35417
Reported LPN Staffing Hours per Resident per Day
0.65833
Reported RN Staffing Hours per Resident per Day
0.82500
Reported Licensed Staffing Hours per Resident per Day
1.48333
Reported Total Nurse Staffing Hours per Resident per Day
3.83750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02361
Expected CNA Staffing Hours per Resident per Day
2.62006
Expected LPN Staffing Hours per Resident per Day
0.76723
Expected RN Staffing Hours per Resident per Day
1.33480
Expected Total Nurse Staffing Hours per Resident per Day
4.72210
Adjusted CNA Staffing Hours per Resident per Day
2.20469
Adjusted LPN Staffing Hours per Resident per Day
0.71219
Adjusted RN Staffing Hours per Resident per Day
0.46182
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27578
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
15.33300
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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