Lutheran Home - Napoleon Nursing Home
General Information
UPDATEFederal Provider Number
366162
Provider Name
LUTHERAN HOME
Provider Address
1036 SOUTH PERRY STREET
NAPOLEON, OH 43545
NAPOLEON, OH 43545
Provider Phone Number
(419) 592-1688
Provider SSA County
360
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
99
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOMES SOCIETY, INC.
Date First Approved to Provide Medicare and Medicaid services
1998-10-09
Continuing Care Retirement Community
Y
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33264
Reported LPN Staffing Hours per Resident per Day
0.67153
Reported RN Staffing Hours per Resident per Day
0.61875
Reported Licensed Staffing Hours per Resident per Day
1.29028
Reported Total Nurse Staffing Hours per Resident per Day
3.62292
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06528
Expected CNA Staffing Hours per Resident per Day
2.64042
Expected LPN Staffing Hours per Resident per Day
0.72258
Expected RN Staffing Hours per Resident per Day
1.22651
Expected Total Nurse Staffing Hours per Resident per Day
4.58951
Adjusted CNA Staffing Hours per Resident per Day
2.16768
Adjusted LPN Staffing Hours per Resident per Day
0.77136
Adjusted RN Staffing Hours per Resident per Day
0.37695
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18196
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-18
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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