Lincoln Park Manor - Kettering Nursing Home

General Information

UPDATE
Federal Provider Number
365773
Provider Name
LINCOLN PARK MANOR
Provider Address
694 ISAAC PRUGH WAY
KETTERING, OH 45429
Provider Phone Number
(937) 297-4300
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
36
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LINCOLN PARK ASSOCIATES II LTD PTR
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85833
Reported LPN Staffing Hours per Resident per Day
0.74444
Reported RN Staffing Hours per Resident per Day
1.56528
Reported Licensed Staffing Hours per Resident per Day
2.30972
Reported Total Nurse Staffing Hours per Resident per Day
5.16805
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13750
Expected CNA Staffing Hours per Resident per Day
2.58240
Expected LPN Staffing Hours per Resident per Day
0.71315
Expected RN Staffing Hours per Resident per Day
1.30621
Expected Total Nurse Staffing Hours per Resident per Day
4.60176
Adjusted CNA Staffing Hours per Resident per Day
2.71588
Adjusted LPN Staffing Hours per Resident per Day
0.86642
Adjusted RN Staffing Hours per Resident per Day
0.89540
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52694
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-07-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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