Mercy - Mcauley Center - Urbana Nursing Home
General Information
UPDATEFederal Provider Number
365650
Provider Name
MERCY - MCAULEY CENTER
Provider Address
906 SCIOTO ST
URBANA, OH 43078
URBANA, OH 43078
Provider Phone Number
(937) 653-5432
Provider SSA County
100
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
115
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY MERCY HEALTH PARTNERS
Date First Approved to Provide Medicare and Medicaid services
1985-03-20
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.43500
Reported LPN Staffing Hours per Resident per Day
0.95409
Reported RN Staffing Hours per Resident per Day
0.57227
Reported Licensed Staffing Hours per Resident per Day
1.52636
Reported Total Nurse Staffing Hours per Resident per Day
2.96136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02227
Expected CNA Staffing Hours per Resident per Day
2.35473
Expected LPN Staffing Hours per Resident per Day
0.66039
Expected RN Staffing Hours per Resident per Day
1.17804
Expected Total Nurse Staffing Hours per Resident per Day
4.19316
Adjusted CNA Staffing Hours per Resident per Day
1.49532
Adjusted LPN Staffing Hours per Resident per Day
1.19913
Adjusted RN Staffing Hours per Resident per Day
0.36297
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84676
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
4
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-10-07
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1755
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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