Maple Knoll Village - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
365350
Provider Name
MAPLE KNOLL VILLAGE
Provider Address
11100 SPRINGFIELD PIKE
CINCINNATI, OH 45246
CINCINNATI, OH 45246
Provider Phone Number
5137822788
Provider SSA County
310
Provider County Name
Hamilton
Ownership Type
Non profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE KNOLL COMMUNITIES, INC
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.93396
Reported LPN Staffing Hours per Resident per Day
1.20149
Reported RN Staffing Hours per Resident per Day
0.67873
Reported Licensed Staffing Hours per Resident per Day
1.88022
Reported Total Nurse Staffing Hours per Resident per Day
4.81418
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07985
Expected CNA Staffing Hours per Resident per Day
2.48939
Expected LPN Staffing Hours per Resident per Day
0.62516
Expected RN Staffing Hours per Resident per Day
0.93595
Expected Total Nurse Staffing Hours per Resident per Day
4.05050
Adjusted CNA Staffing Hours per Resident per Day
2.89190
Adjusted LPN Staffing Hours per Resident per Day
1.59516
Adjusted RN Staffing Hours per Resident per Day
0.54185
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79088
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
16
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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