Hempstead Manor - Portsmouth Nursing Home

General Information

UPDATE
Federal Provider Number
365643
Provider Name
HEMPSTEAD MANOR
Provider Address
727 EIGHTH STREET
PORTSMOUTH, OH 45662
Provider Phone Number
7403548631
Provider SSA County
740
Provider County Name
Scioto
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY NURSING CENTER OF PORTSMOUTH INC
Date First Approved to Provide Medicare and Medicaid services
1984-03-07
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
3
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
2.09941
Reported LPN Staffing Hours per Resident per Day
0.92118
Reported RN Staffing Hours per Resident per Day
0.70706
Reported Licensed Staffing Hours per Resident per Day
1.62824
Reported Total Nurse Staffing Hours per Resident per Day
3.72765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04529
Expected CNA Staffing Hours per Resident per Day
2.54638
Expected LPN Staffing Hours per Resident per Day
0.83057
Expected RN Staffing Hours per Resident per Day
1.43004
Expected Total Nurse Staffing Hours per Resident per Day
4.80699
Adjusted CNA Staffing Hours per Resident per Day
2.02300
Adjusted LPN Staffing Hours per Resident per Day
0.92055
Adjusted RN Staffing Hours per Resident per Day
0.36944
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12582
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
0
Cycle 1 Standard Survey Health Date
2014-05-01
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-01
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
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
19.33300
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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