Laurels Of Norworth The - Worthington Nursing Home
General Information
UPDATEFederal Provider Number
365222
Provider Name
LAURELS OF NORWORTH THE
Provider Address
6830 NORTH HIGH STREET
WORTHINGTON, OH 43085
WORTHINGTON, OH 43085
Provider Phone Number
(614) 888-4553
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAUREL HEALTH CARE COMPANY OF NORTH WORTHINGTON
Date First Approved to Provide Medicare and Medicaid services
1969-06-25
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.34204
Reported LPN Staffing Hours per Resident per Day
1.54115
Reported RN Staffing Hours per Resident per Day
1.00752
Reported Licensed Staffing Hours per Resident per Day
2.54867
Reported Total Nurse Staffing Hours per Resident per Day
4.89071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07566
Expected CNA Staffing Hours per Resident per Day
2.66902
Expected LPN Staffing Hours per Resident per Day
0.79538
Expected RN Staffing Hours per Resident per Day
1.37685
Expected Total Nurse Staffing Hours per Resident per Day
4.84124
Adjusted CNA Staffing Hours per Resident per Day
2.15310
Adjusted LPN Staffing Hours per Resident per Day
1.60824
Adjusted RN Staffing Hours per Resident per Day
0.54677
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07209
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
3
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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