Kindred Transitional Care & Rehab-newark - Newark Nursing Home
General Information
UPDATEFederal Provider Number
365425
Provider Name
KINDRED TRANSITIONAL CARE & REHAB-NEWARK
Provider Address
75 MCMILLEN DRIVE
NEWARK, OH 43055
NEWARK, OH 43055
Provider Phone Number
(740) 344-0357
Provider SSA County
460
Provider County Name
Licking
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
235
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS EAST LLC
Date First Approved to Provide Medicare and Medicaid services
1979-10-19
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.10145
Reported LPN Staffing Hours per Resident per Day
0.75260
Reported RN Staffing Hours per Resident per Day
0.86503
Reported Licensed Staffing Hours per Resident per Day
1.61763
Reported Total Nurse Staffing Hours per Resident per Day
3.71908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05954
Expected CNA Staffing Hours per Resident per Day
2.39153
Expected LPN Staffing Hours per Resident per Day
0.68522
Expected RN Staffing Hours per Resident per Day
1.22010
Expected Total Nurse Staffing Hours per Resident per Day
4.29685
Adjusted CNA Staffing Hours per Resident per Day
2.15608
Adjusted LPN Staffing Hours per Resident per Day
0.91162
Adjusted RN Staffing Hours per Resident per Day
0.52975
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48889
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-29
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-10-24
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
19.33300
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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