Manor At Whitehall The - Whitehall Nursing Home
General Information
UPDATEFederal Provider Number
366201
Provider Name
MANOR AT WHITEHALL THE
Provider Address
4805 LANGLEY AVENUE
WHITEHALL, OH 43213
WHITEHALL, OH 43213
Provider Phone Number
(614) 501-8271
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHG WHITEHALL HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-08-22
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03798
Reported LPN Staffing Hours per Resident per Day
0.71279
Reported RN Staffing Hours per Resident per Day
0.77791
Reported Licensed Staffing Hours per Resident per Day
1.49070
Reported Total Nurse Staffing Hours per Resident per Day
3.52868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10465
Expected CNA Staffing Hours per Resident per Day
2.49056
Expected LPN Staffing Hours per Resident per Day
0.73885
Expected RN Staffing Hours per Resident per Day
1.35435
Expected Total Nurse Staffing Hours per Resident per Day
4.58376
Adjusted CNA Staffing Hours per Resident per Day
2.00782
Adjusted LPN Staffing Hours per Resident per Day
0.80073
Adjusted RN Staffing Hours per Resident per Day
0.42917
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10308
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
164
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
3
Total Amount of Fines in Dollars
10000
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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