Kingston Of Vermilion - Vermilion Nursing Home
General Information
UPDATEFederal Provider Number
365639
Provider Name
KINGSTON OF VERMILION
Provider Address
4210 TELEGRAPH LANE
VERMILION, OH 44089
VERMILION, OH 44089
Provider Phone Number
(440) 967-1800
Provider SSA County
480
Provider County Name
Lorain
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGSTON OF VERMILION, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.45833
Reported LPN Staffing Hours per Resident per Day
0.99630
Reported RN Staffing Hours per Resident per Day
0.74491
Reported Licensed Staffing Hours per Resident per Day
1.74120
Reported Total Nurse Staffing Hours per Resident per Day
4.19954
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19120
Expected CNA Staffing Hours per Resident per Day
2.59170
Expected LPN Staffing Hours per Resident per Day
0.76101
Expected RN Staffing Hours per Resident per Day
1.30521
Expected Total Nurse Staffing Hours per Resident per Day
4.65792
Adjusted CNA Staffing Hours per Resident per Day
2.32743
Adjusted LPN Staffing Hours per Resident per Day
1.08662
Adjusted RN Staffing Hours per Resident per Day
0.42644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63422
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
20
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
2011-08-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.66700
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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