Heartland Of Marysville - Marysville Nursing Home
General Information
UPDATEFederal Provider Number
365577
Provider Name
HEARTLAND OF MARYSVILLE
Provider Address
755 SOUTH PLUM STREET
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
Provider Phone Number
(937) 644-8836
Provider SSA County
810
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF MARYSVILLE OH LLC
Date First Approved to Provide Medicare and Medicaid services
1982-02-09
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
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
1.76690
Reported LPN Staffing Hours per Resident per Day
0.76197
Reported RN Staffing Hours per Resident per Day
0.74437
Reported Licensed Staffing Hours per Resident per Day
1.50634
Reported Total Nurse Staffing Hours per Resident per Day
3.27324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07465
Expected CNA Staffing Hours per Resident per Day
2.41002
Expected LPN Staffing Hours per Resident per Day
0.64049
Expected RN Staffing Hours per Resident per Day
0.98558
Expected Total Nurse Staffing Hours per Resident per Day
4.03609
Adjusted CNA Staffing Hours per Resident per Day
1.79893
Adjusted LPN Staffing Hours per Resident per Day
0.98743
Adjusted RN Staffing Hours per Resident per Day
0.56433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26903
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
2014-08-14
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
11.33300
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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