Liberty Retirement Community Of Middletown, Inc - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
365648
Provider Name
LIBERTY RETIREMENT COMMUNITY OF MIDDLETOWN, INC
Provider Address
4400 VANNEST AVENUE
MIDDLETOWN, OH 45042
MIDDLETOWN, OH 45042
Provider Phone Number
(513) 422-5600
Provider SSA County
80
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY RETIREMENT COMMUNITY OF MIDDLETOWN INC
Date First Approved to Provide Medicare and Medicaid services
1985-02-08
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
2
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.75410
Reported LPN Staffing Hours per Resident per Day
0.91803
Reported RN Staffing Hours per Resident per Day
0.55246
Reported Licensed Staffing Hours per Resident per Day
1.47049
Reported Total Nurse Staffing Hours per Resident per Day
3.22459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07049
Expected CNA Staffing Hours per Resident per Day
2.56817
Expected LPN Staffing Hours per Resident per Day
0.75093
Expected RN Staffing Hours per Resident per Day
1.39405
Expected Total Nurse Staffing Hours per Resident per Day
4.71315
Adjusted CNA Staffing Hours per Resident per Day
1.67591
Adjusted LPN Staffing Hours per Resident per Day
1.01469
Adjusted RN Staffing Hours per Resident per Day
0.29611
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75781
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-01-31
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-10-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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