Liberty Retirement Community - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
365764
Provider Name
LIBERTY RETIREMENT COMMUNITY
Provider Address
7300 MCEWEN ROAD
DAYTON, OH 45459
DAYTON, OH 45459
Provider Phone Number
(937) 433-3441
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY RETIREMENT COMMUNITY OF WASHINGTON TOWNSHIP, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10728
Reported LPN Staffing Hours per Resident per Day
0.88204
Reported RN Staffing Hours per Resident per Day
0.50874
Reported Licensed Staffing Hours per Resident per Day
1.39078
Reported Total Nurse Staffing Hours per Resident per Day
3.49806
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04417
Expected CNA Staffing Hours per Resident per Day
2.47031
Expected LPN Staffing Hours per Resident per Day
0.73944
Expected RN Staffing Hours per Resident per Day
1.50692
Expected Total Nurse Staffing Hours per Resident per Day
4.71667
Adjusted CNA Staffing Hours per Resident per Day
2.09311
Adjusted LPN Staffing Hours per Resident per Day
0.99007
Adjusted RN Staffing Hours per Resident per Day
0.25226
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98947
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
119
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
119
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
76.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
27700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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