Horn Nursing Home - Wooster Nursing Home
General Information
UPDATEFederal Provider Number
366083
Provider Name
HORN NURSING HOME
Provider Address
230 NORTH MARKET STREET
WOOSTER, OH 44691
WOOSTER, OH 44691
Provider Phone Number
(330) 262-2951
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HORN RETIREMENT VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-09-13
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
1.66042
Reported LPN Staffing Hours per Resident per Day
1.14375
Reported RN Staffing Hours per Resident per Day
0.70417
Reported Licensed Staffing Hours per Resident per Day
1.84792
Reported Total Nurse Staffing Hours per Resident per Day
3.50834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02708
Expected CNA Staffing Hours per Resident per Day
1.97938
Expected LPN Staffing Hours per Resident per Day
0.63131
Expected RN Staffing Hours per Resident per Day
0.86196
Expected Total Nurse Staffing Hours per Resident per Day
3.47265
Adjusted CNA Staffing Hours per Resident per Day
2.05831
Adjusted LPN Staffing Hours per Resident per Day
1.50371
Adjusted RN Staffing Hours per Resident per Day
0.61042
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07233
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-04-09
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-24
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
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
26.66700
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
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