Gaymont Nursing Center - Norwalk Nursing Home
General Information
UPDATEFederal Provider Number
365430
Provider Name
GAYMONT NURSING CENTER
Provider Address
66 NORWOOD AVE
NORWALK, OH 44857
NORWALK, OH 44857
Provider Phone Number
(419) 668-8258
Provider SSA County
400
Provider County Name
Huron
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GAYMONT NURSING HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-10-17
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.44505
Reported LPN Staffing Hours per Resident per Day
0.95347
Reported RN Staffing Hours per Resident per Day
0.91139
Reported Licensed Staffing Hours per Resident per Day
1.86485
Reported Total Nurse Staffing Hours per Resident per Day
4.30991
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03812
Expected CNA Staffing Hours per Resident per Day
2.41109
Expected LPN Staffing Hours per Resident per Day
0.66488
Expected RN Staffing Hours per Resident per Day
1.12149
Expected Total Nurse Staffing Hours per Resident per Day
4.19747
Adjusted CNA Staffing Hours per Resident per Day
2.48826
Adjusted LPN Staffing Hours per Resident per Day
1.19026
Adjusted RN Staffing Hours per Resident per Day
0.60722
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13888
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-27
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
3200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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