Heartland Of Wauseon - Wauseon Nursing Home
General Information
UPDATEFederal Provider Number
365330
Provider Name
HEARTLAND OF WAUSEON
Provider Address
303 W LEGGETT ST
WAUSEON, OH 43567
WAUSEON, OH 43567
Provider Phone Number
(419) 337-3050
Provider SSA County
260
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF WAUSEON OH LLC
Date First Approved to Provide Medicare and Medicaid services
1976-06-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.51944
Reported LPN Staffing Hours per Resident per Day
0.42778
Reported RN Staffing Hours per Resident per Day
1.13056
Reported Licensed Staffing Hours per Resident per Day
1.55833
Reported Total Nurse Staffing Hours per Resident per Day
4.07778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05139
Expected CNA Staffing Hours per Resident per Day
2.41031
Expected LPN Staffing Hours per Resident per Day
0.63973
Expected RN Staffing Hours per Resident per Day
1.19349
Expected Total Nurse Staffing Hours per Resident per Day
4.24354
Adjusted CNA Staffing Hours per Resident per Day
2.56480
Adjusted LPN Staffing Hours per Resident per Day
0.55501
Adjusted RN Staffing Hours per Resident per Day
0.70780
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87345
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
2014-10-23
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-18
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
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
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
60
Total Weighted Health Survey Score
12.66700
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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