Heartland Of Perrysburg - Perrysburg Nursing Home
General Information
UPDATEFederal Provider Number
365535
Provider Name
HEARTLAND OF PERRYSBURG
Provider Address
10540 FREMONT PIKE RD
PERRYSBURG, OH 43551
PERRYSBURG, OH 43551
Provider Phone Number
(419) 874-3578
Provider SSA County
880
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF PERRYSBURG OH LLC
Date First Approved to Provide Medicare and Medicaid services
1980-09-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.97727
Reported LPN Staffing Hours per Resident per Day
1.06364
Reported RN Staffing Hours per Resident per Day
0.72929
Reported Licensed Staffing Hours per Resident per Day
1.79293
Reported Total Nurse Staffing Hours per Resident per Day
3.77020
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07677
Expected CNA Staffing Hours per Resident per Day
2.31177
Expected LPN Staffing Hours per Resident per Day
0.66607
Expected RN Staffing Hours per Resident per Day
1.20556
Expected Total Nurse Staffing Hours per Resident per Day
4.18341
Adjusted CNA Staffing Hours per Resident per Day
2.09866
Adjusted LPN Staffing Hours per Resident per Day
1.32541
Adjusted RN Staffing Hours per Resident per Day
0.45201
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63276
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
7.33300
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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