Heritage Corner Nursing Home - Bowling Green Nursing Home
General Information
UPDATEFederal Provider Number
366401
Provider Name
HERITAGE CORNER NURSING HOME
Provider Address
1069 KLOTZ ROAD
BOWLING GREEN, OH 43402
BOWLING GREEN, OH 43402
Provider Phone Number
4197287010
Provider SSA County
880
Provider County Name
Wood
Ownership Type
For profit - Corporation
Number of Certified Beds
13
Number of Residents in Certified Beds
12
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE CORNER NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
2012-11-28
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54583
Reported LPN Staffing Hours per Resident per Day
0.36250
Reported RN Staffing Hours per Resident per Day
2.59167
Reported Licensed Staffing Hours per Resident per Day
2.95417
Reported Total Nurse Staffing Hours per Resident per Day
5.50000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.46346
Expected LPN Staffing Hours per Resident per Day
0.81056
Expected RN Staffing Hours per Resident per Day
1.74429
Expected Total Nurse Staffing Hours per Resident per Day
5.01831
Adjusted CNA Staffing Hours per Resident per Day
2.53574
Adjusted LPN Staffing Hours per Resident per Day
0.37120
Adjusted RN Staffing Hours per Resident per Day
1.11019
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41781
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
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
4
Cycle 2 Standard Health Survey Date
2013-09-07
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
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
2012-11-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
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Grand Rapids Care Center
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Briar Hill Health Campus
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NORTH BALTIMORE OH 45872 | 12.7 miles away
Manor At Perrysburg
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PERRYSBURG OH 43551 | 13.7 miles away
Heartland Of Perrysburg
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PERRYSBURG OH 43551 | 13.8 miles away
Kingston Rehabilitation Of Perrysburg
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