Heartland Of Beavercreek - Beavercreek Nursing Home
General Information
UPDATEFederal Provider Number
365374
Provider Name
HEARTLAND OF BEAVERCREEK
Provider Address
1974 NORTH FAIRFIELD ROAD
BEAVERCREEK, OH 45432
BEAVERCREEK, OH 45432
Provider Phone Number
(937) 429-1106
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-BEAVERCREEK OF DAYTON OH LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-03
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90417
Reported LPN Staffing Hours per Resident per Day
0.72143
Reported RN Staffing Hours per Resident per Day
0.65298
Reported Licensed Staffing Hours per Resident per Day
1.37440
Reported Total Nurse Staffing Hours per Resident per Day
3.27858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12619
Expected CNA Staffing Hours per Resident per Day
2.51150
Expected LPN Staffing Hours per Resident per Day
0.74432
Expected RN Staffing Hours per Resident per Day
1.29417
Expected Total Nurse Staffing Hours per Resident per Day
4.55000
Adjusted CNA Staffing Hours per Resident per Day
1.86035
Adjusted LPN Staffing Hours per Resident per Day
0.80447
Adjusted RN Staffing Hours per Resident per Day
0.37700
Adjusted Total Nurse Staffing Hours per Resident per Day
2.90454
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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