Greene Oaks Health Center - Xenia Nursing Home
General Information
UPDATEFederal Provider Number
365601
Provider Name
GREENE OAKS HEALTH CENTER
Provider Address
164 OFFICE PARK DRIVE
XENIA, OH 45385
XENIA, OH 45385
Provider Phone Number
(937) 352-2800
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENE OAKS
Date First Approved to Provide Medicare and Medicaid services
1983-08-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.22701
Reported LPN Staffing Hours per Resident per Day
0.83678
Reported RN Staffing Hours per Resident per Day
0.70920
Reported Licensed Staffing Hours per Resident per Day
1.54598
Reported Total Nurse Staffing Hours per Resident per Day
3.77299
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11379
Expected CNA Staffing Hours per Resident per Day
2.33280
Expected LPN Staffing Hours per Resident per Day
0.69944
Expected RN Staffing Hours per Resident per Day
1.29400
Expected Total Nurse Staffing Hours per Resident per Day
4.32624
Adjusted CNA Staffing Hours per Resident per Day
2.34243
Adjusted LPN Staffing Hours per Resident per Day
0.99298
Adjusted RN Staffing Hours per Resident per Day
0.40952
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51542
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-26
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
24
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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