Hillside Acres Inc - Willard Nursing Home
General Information
UPDATEFederal Provider Number
365343
Provider Name
HILLSIDE ACRES INC
Provider Address
370 E HOWARD ST
WILLARD, OH 44890
WILLARD, OH 44890
Provider Phone Number
(419) 935-0148
Provider SSA County
400
Provider County Name
Huron
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY NURSING CENTER OF WILLARD, INC
Date First Approved to Provide Medicare and Medicaid services
1976-09-27
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.64327
Reported LPN Staffing Hours per Resident per Day
0.72115
Reported RN Staffing Hours per Resident per Day
0.34038
Reported Licensed Staffing Hours per Resident per Day
1.06154
Reported Total Nurse Staffing Hours per Resident per Day
2.70480
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01635
Expected CNA Staffing Hours per Resident per Day
2.49101
Expected LPN Staffing Hours per Resident per Day
0.70458
Expected RN Staffing Hours per Resident per Day
1.32047
Expected Total Nurse Staffing Hours per Resident per Day
4.51606
Adjusted CNA Staffing Hours per Resident per Day
1.61866
Adjusted LPN Staffing Hours per Resident per Day
0.84953
Adjusted RN Staffing Hours per Resident per Day
0.19261
Adjusted Total Nurse Staffing Hours per Resident per Day
2.41422
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
40
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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