Good Shepherd The - Ashland Nursing Home

General Information

UPDATE
Federal Provider Number
365093
Provider Name
GOOD SHEPHERD THE
Provider Address
622 CENTER ST
ASHLAND, OH 44805
Provider Phone Number
4192893523
Provider SSA County
20
Provider County Name
Ashland
Ownership Type
Non profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GOOD SHEPHERD HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
3.19861
Reported LPN Staffing Hours per Resident per Day
0.94306
Reported RN Staffing Hours per Resident per Day
0.84028
Reported Licensed Staffing Hours per Resident per Day
1.78333
Reported Total Nurse Staffing Hours per Resident per Day
4.98195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07917
Expected CNA Staffing Hours per Resident per Day
2.45756
Expected LPN Staffing Hours per Resident per Day
0.66487
Expected RN Staffing Hours per Resident per Day
1.19927
Expected Total Nurse Staffing Hours per Resident per Day
4.32170
Adjusted CNA Staffing Hours per Resident per Day
3.19359
Adjusted LPN Staffing Hours per Resident per Day
1.17728
Adjusted RN Staffing Hours per Resident per Day
0.52353
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64673
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
8
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
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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