Mennonite Memorial Home - Bluffton Nursing Home
General Information
UPDATEFederal Provider Number
366144
Provider Name
MENNONITE MEMORIAL HOME
Provider Address
410 W ELM STREET
BLUFFTON, OH 45817
BLUFFTON, OH 45817
Provider Phone Number
(419) 358-1015
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNONITE MEMORIAL HOME
Date First Approved to Provide Medicare and Medicaid services
1997-08-15
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
2
Health Inspection Rating Footnote
QM Rating
5
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
3.09821
Reported LPN Staffing Hours per Resident per Day
0.81339
Reported RN Staffing Hours per Resident per Day
0.84107
Reported Licensed Staffing Hours per Resident per Day
1.65446
Reported Total Nurse Staffing Hours per Resident per Day
4.75267
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03839
Expected CNA Staffing Hours per Resident per Day
2.62230
Expected LPN Staffing Hours per Resident per Day
0.67556
Expected RN Staffing Hours per Resident per Day
1.09126
Expected Total Nurse Staffing Hours per Resident per Day
4.38912
Adjusted CNA Staffing Hours per Resident per Day
2.89901
Adjusted LPN Staffing Hours per Resident per Day
0.99934
Adjusted RN Staffing Hours per Resident per Day
0.57589
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36477
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
41.33300
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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