Monterey Care Center - Grove City Nursing Home

General Information

UPDATE
Federal Provider Number
365077
Provider Name
MONTEREY CARE CENTER
Provider Address
3929 HOOVER ROAD
GROVE CITY, OH 43123
Provider Phone Number
(614) 875-7700
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MACINTOSH COMPANY
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.72448
Reported LPN Staffing Hours per Resident per Day
0.79655
Reported RN Staffing Hours per Resident per Day
0.54414
Reported Licensed Staffing Hours per Resident per Day
1.34069
Reported Total Nurse Staffing Hours per Resident per Day
4.06517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08621
Expected CNA Staffing Hours per Resident per Day
2.52097
Expected LPN Staffing Hours per Resident per Day
0.70295
Expected RN Staffing Hours per Resident per Day
1.28304
Expected Total Nurse Staffing Hours per Resident per Day
4.50696
Adjusted CNA Staffing Hours per Resident per Day
2.65178
Adjusted LPN Staffing Hours per Resident per Day
0.94052
Adjusted RN Staffing Hours per Resident per Day
0.31689
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63578
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-08
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
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
2012-05-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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