Hillside Skilled Nursing And Rehabilitation - Peebles Nursing Home
General Information
UPDATEFederal Provider Number
365906
Provider Name
HILLSIDE SKILLED NURSING AND REHABILITATION
Provider Address
3564 LAWSHE RD
PEEBLES, OH 45660
PEEBLES, OH 45660
Provider Phone Number
(937) 386-2522
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSIDE NURSING AND REHABILITATION, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-02-22
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
1
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
2.08523
Reported LPN Staffing Hours per Resident per Day
0.86364
Reported RN Staffing Hours per Resident per Day
0.75455
Reported Licensed Staffing Hours per Resident per Day
1.61818
Reported Total Nurse Staffing Hours per Resident per Day
3.70342
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01818
Expected CNA Staffing Hours per Resident per Day
2.41717
Expected LPN Staffing Hours per Resident per Day
0.75129
Expected RN Staffing Hours per Resident per Day
1.22592
Expected Total Nurse Staffing Hours per Resident per Day
4.39438
Adjusted CNA Staffing Hours per Resident per Day
2.11675
Adjusted LPN Staffing Hours per Resident per Day
0.95413
Adjusted RN Staffing Hours per Resident per Day
0.45990
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39709
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
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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