Mohun Health Care Center - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
366135
Provider Name
MOHUN HEALTH CARE CENTER
Provider Address
2340 AIRPORT DR
COLUMBUS, OH 43219
COLUMBUS, OH 43219
Provider Phone Number
(614) 416-6132
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
72
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOHUN HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1997-08-09
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.74265
Reported LPN Staffing Hours per Resident per Day
0.68676
Reported RN Staffing Hours per Resident per Day
0.73971
Reported Licensed Staffing Hours per Resident per Day
1.42647
Reported Total Nurse Staffing Hours per Resident per Day
4.16912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.18865
Expected LPN Staffing Hours per Resident per Day
0.62826
Expected RN Staffing Hours per Resident per Day
1.20146
Expected Total Nurse Staffing Hours per Resident per Day
4.01837
Adjusted CNA Staffing Hours per Resident per Day
3.07479
Adjusted LPN Staffing Hours per Resident per Day
0.90729
Adjusted RN Staffing Hours per Resident per Day
0.46003
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18212
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-09-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
16
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
22.66700
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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