Heartland-fairfield Nursing Center - Pleasantville Nursing Home
General Information
UPDATEFederal Provider Number
366199
Provider Name
HEARTLAND-FAIRFIELD NURSING CENTER
Provider Address
7820 PLEASANTVILLE ROAD
PLEASANTVILLE, OH 43148
PLEASANTVILLE, OH 43148
Provider Phone Number
7405367381
Provider SSA County
230
Provider County Name
Fairfield
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC
Date First Approved to Provide Medicare and Medicaid services
2000-07-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.08056
Reported LPN Staffing Hours per Resident per Day
0.48278
Reported RN Staffing Hours per Resident per Day
0.75611
Reported Licensed Staffing Hours per Resident per Day
1.23889
Reported Total Nurse Staffing Hours per Resident per Day
3.31945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05889
Expected CNA Staffing Hours per Resident per Day
2.29084
Expected LPN Staffing Hours per Resident per Day
0.63657
Expected RN Staffing Hours per Resident per Day
1.04039
Expected Total Nurse Staffing Hours per Resident per Day
3.96781
Adjusted CNA Staffing Hours per Resident per Day
2.22847
Adjusted LPN Staffing Hours per Resident per Day
0.62947
Adjusted RN Staffing Hours per Resident per Day
0.54303
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37223
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
16
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-10-08
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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