Mary Scott Nursing Center - Dayton Nursing Home

General Information

UPDATE
Federal Provider Number
366122
Provider Name
MARY SCOTT NURSING CENTER
Provider Address
3109 CAMPUS DR
DAYTON, OH 45406
Provider Phone Number
(937) 278-0761
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARY SCOTT NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-02-28
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.65507
Reported LPN Staffing Hours per Resident per Day
1.24420
Reported RN Staffing Hours per Resident per Day
0.60290
Reported Licensed Staffing Hours per Resident per Day
1.84710
Reported Total Nurse Staffing Hours per Resident per Day
3.50217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00217
Expected CNA Staffing Hours per Resident per Day
2.54363
Expected LPN Staffing Hours per Resident per Day
0.78560
Expected RN Staffing Hours per Resident per Day
1.33976
Expected Total Nurse Staffing Hours per Resident per Day
4.66899
Adjusted CNA Staffing Hours per Resident per Day
1.59656
Adjusted LPN Staffing Hours per Resident per Day
1.31452
Adjusted RN Staffing Hours per Resident per Day
0.33624
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02354
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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