Memorial Gables - Marysville Nursing Home
General Information
UPDATEFederal Provider Number
365864
Provider Name
MEMORIAL GABLES
Provider Address
390 GABLES DRIVE
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
Provider Phone Number
(937) 642-3893
Provider SSA County
810
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
112
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GABLES AT GREEN PASTURES
Date First Approved to Provide Medicare and Medicaid services
1992-03-06
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.46616
Reported LPN Staffing Hours per Resident per Day
0.93737
Reported RN Staffing Hours per Resident per Day
0.75707
Reported Licensed Staffing Hours per Resident per Day
1.69444
Reported Total Nurse Staffing Hours per Resident per Day
4.16060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12475
Expected CNA Staffing Hours per Resident per Day
2.50589
Expected LPN Staffing Hours per Resident per Day
0.65392
Expected RN Staffing Hours per Resident per Day
1.12772
Expected Total Nurse Staffing Hours per Resident per Day
4.28753
Adjusted CNA Staffing Hours per Resident per Day
2.41480
Adjusted LPN Staffing Hours per Resident per Day
1.18978
Adjusted RN Staffing Hours per Resident per Day
0.50161
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91157
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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