Ohio Nursing Homes >> Columbus Nursing Homes >> Mayfair Village Nursing Care C

Mayfair Village Nursing Care C - Columbus Nursing Home

General Information

UPDATE
Federal Provider Number
365410
Provider Name
MAYFAIR VILLAGE NURSING CARE C
Provider Address
3000 BETHEL RD
COLUMBUS, OH 43230
Provider Phone Number
(614) 889-6320
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND II-MAYFAIR NSG
Date First Approved to Provide Medicare and Medicaid services
1979-04-12
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38795
Reported LPN Staffing Hours per Resident per Day
0.64699
Reported RN Staffing Hours per Resident per Day
1.20783
Reported Licensed Staffing Hours per Resident per Day
1.85482
Reported Total Nurse Staffing Hours per Resident per Day
4.24277
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19337
Expected CNA Staffing Hours per Resident per Day
2.48586
Expected LPN Staffing Hours per Resident per Day
0.68175
Expected RN Staffing Hours per Resident per Day
1.24453
Expected Total Nurse Staffing Hours per Resident per Day
4.41213
Adjusted CNA Staffing Hours per Resident per Day
2.35706
Adjusted LPN Staffing Hours per Resident per Day
0.78768
Adjusted RN Staffing Hours per Resident per Day
0.72517
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87617
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
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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