Meadows Of Kalida - Kalida Nursing Home
General Information
UPDATEFederal Provider Number
365407
Provider Name
MEADOWS OF KALIDA
Provider Address
755 OTTAWA STREET
KALIDA, OH 45853
KALIDA, OH 45853
Provider Phone Number
(419) 532-2961
Provider SSA County
700
Provider County Name
Putnam
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF PUTNAM,LLC
Date First Approved to Provide Medicare and Medicaid services
1979-02-14
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.00942
Reported LPN Staffing Hours per Resident per Day
0.64565
Reported RN Staffing Hours per Resident per Day
0.61159
Reported Licensed Staffing Hours per Resident per Day
1.25725
Reported Total Nurse Staffing Hours per Resident per Day
3.26666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05870
Expected CNA Staffing Hours per Resident per Day
2.63893
Expected LPN Staffing Hours per Resident per Day
0.74044
Expected RN Staffing Hours per Resident per Day
1.21101
Expected Total Nurse Staffing Hours per Resident per Day
4.59038
Adjusted CNA Staffing Hours per Resident per Day
1.86838
Adjusted LPN Staffing Hours per Resident per Day
0.72374
Adjusted RN Staffing Hours per Resident per Day
0.37735
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86851
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
8
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
8
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
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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