Logan Acres - Bellefontaine Nursing Home
General Information
UPDATEFederal Provider Number
365768
Provider Name
LOGAN ACRES
Provider Address
2739 COUNTY ROAD 91
BELLEFONTAINE, OH 43311
BELLEFONTAINE, OH 43311
Provider Phone Number
(937) 592-2901
Provider SSA County
470
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
95
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF LOGAN OFFICE OF AUDITOR
Date First Approved to Provide Medicare and Medicaid services
1989-08-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.12697
Reported LPN Staffing Hours per Resident per Day
0.20562
Reported RN Staffing Hours per Resident per Day
0.45787
Reported Licensed Staffing Hours per Resident per Day
0.66348
Reported Total Nurse Staffing Hours per Resident per Day
3.79046
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09607
Expected CNA Staffing Hours per Resident per Day
2.48596
Expected LPN Staffing Hours per Resident per Day
0.75729
Expected RN Staffing Hours per Resident per Day
1.39598
Expected Total Nurse Staffing Hours per Resident per Day
4.63923
Adjusted CNA Staffing Hours per Resident per Day
3.08639
Adjusted LPN Staffing Hours per Resident per Day
0.22536
Adjusted RN Staffing Hours per Resident per Day
0.24508
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29343
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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