Laurels Of West Carrollton The - West Carrollton Nursing Home
General Information
UPDATEFederal Provider Number
365598
Provider Name
LAURELS OF WEST CARROLLTON THE
Provider Address
115 ELMWOOD CIRCLE
WEST CARROLLTON, OH 45449
WEST CARROLLTON, OH 45449
Provider Phone Number
9378663814
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE LAURELS OF WEST CARROLLTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1983-05-25
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
2
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
2.45078
Reported LPN Staffing Hours per Resident per Day
1.33047
Reported RN Staffing Hours per Resident per Day
1.28438
Reported Licensed Staffing Hours per Resident per Day
2.61484
Reported Total Nurse Staffing Hours per Resident per Day
5.06563
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18984
Expected CNA Staffing Hours per Resident per Day
2.42407
Expected LPN Staffing Hours per Resident per Day
0.74780
Expected RN Staffing Hours per Resident per Day
1.36951
Expected Total Nurse Staffing Hours per Resident per Day
4.54138
Adjusted CNA Staffing Hours per Resident per Day
2.48073
Adjusted LPN Staffing Hours per Resident per Day
1.47672
Adjusted RN Staffing Hours per Resident per Day
0.70075
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49622
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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