Logan Elm Health Care Center - Circleville Nursing Home

General Information

UPDATE
Federal Provider Number
365295
Provider Name
LOGAN ELM HEALTH CARE CENTER
Provider Address
370 TARLTON ROAD
CIRCLEVILLE, OH 43113
Provider Phone Number
(740) 474-3121
Provider SSA County
660
Provider County Name
Pickaway
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CIRCLEVILLE LONG TERM CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.50306
Reported LPN Staffing Hours per Resident per Day
0.65408
Reported RN Staffing Hours per Resident per Day
0.81837
Reported Licensed Staffing Hours per Resident per Day
1.47245
Reported Total Nurse Staffing Hours per Resident per Day
3.97551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04949
Expected CNA Staffing Hours per Resident per Day
2.54897
Expected LPN Staffing Hours per Resident per Day
0.71831
Expected RN Staffing Hours per Resident per Day
1.13406
Expected Total Nurse Staffing Hours per Resident per Day
4.40133
Adjusted CNA Staffing Hours per Resident per Day
2.40951
Adjusted LPN Staffing Hours per Resident per Day
0.75578
Adjusted RN Staffing Hours per Resident per Day
0.53920
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64092
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-28
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
8
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
35880
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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