Greenewood Manor - Xenia Nursing Home
General Information
UPDATEFederal Provider Number
365454
Provider Name
GREENEWOOD MANOR
Provider Address
711 DAYTON-XENIA ROAD
XENIA, OH 45385
XENIA, OH 45385
Provider Phone Number
(937) 562-7550
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
85
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENE COUNTY
Date First Approved to Provide Medicare and Medicaid services
1980-02-29
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
2.10978
Reported LPN Staffing Hours per Resident per Day
1.10870
Reported RN Staffing Hours per Resident per Day
0.82391
Reported Licensed Staffing Hours per Resident per Day
1.93261
Reported Total Nurse Staffing Hours per Resident per Day
4.04239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07935
Expected CNA Staffing Hours per Resident per Day
2.48827
Expected LPN Staffing Hours per Resident per Day
0.67549
Expected RN Staffing Hours per Resident per Day
1.06938
Expected Total Nurse Staffing Hours per Resident per Day
4.23314
Adjusted CNA Staffing Hours per Resident per Day
2.08047
Adjusted LPN Staffing Hours per Resident per Day
1.36231
Adjusted RN Staffing Hours per Resident per Day
0.57568
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84926
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-12-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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