Ohio Nursing Homes >> Columbus Nursing Homes >> Healthcare Center At The Forum

Healthcare Center At The Forum - Columbus Nursing Home

General Information

UPDATE
Federal Provider Number
365775
Provider Name
HEALTHCARE CENTER AT THE FORUM
Provider Address
4590 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214
Provider Phone Number
6144516766
Provider SSA County
250
Provider County Name
Franklin
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
40
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR KNIGHTSBRIDGE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-29
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.21625
Reported LPN Staffing Hours per Resident per Day
0.84250
Reported RN Staffing Hours per Resident per Day
1.09125
Reported Licensed Staffing Hours per Resident per Day
1.93375
Reported Total Nurse Staffing Hours per Resident per Day
4.15000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45000
Expected CNA Staffing Hours per Resident per Day
2.44392
Expected LPN Staffing Hours per Resident per Day
0.73865
Expected RN Staffing Hours per Resident per Day
1.49326
Expected Total Nurse Staffing Hours per Resident per Day
4.67583
Adjusted CNA Staffing Hours per Resident per Day
2.22512
Adjusted LPN Staffing Hours per Resident per Day
0.94669
Adjusted RN Staffing Hours per Resident per Day
0.54604
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57760
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-02
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-03-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
15.33300
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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