Muskingum Skilled Nursing & Rehabilitation - Beverly Nursing Home
General Information
UPDATEFederal Provider Number
365461
Provider Name
MUSKINGUM SKILLED NURSING & REHABILITATION
Provider Address
501 PINECREST DRIVE
BEVERLY, OH 45715
BEVERLY, OH 45715
Provider Phone Number
(740) 984-4262
Provider SSA County
850
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTH CARE CO LLC
Date First Approved to Provide Medicare and Medicaid services
1980-04-24
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.08333
Reported LPN Staffing Hours per Resident per Day
0.98194
Reported RN Staffing Hours per Resident per Day
0.77500
Reported Licensed Staffing Hours per Resident per Day
1.75694
Reported Total Nurse Staffing Hours per Resident per Day
3.84027
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00556
Expected CNA Staffing Hours per Resident per Day
2.55861
Expected LPN Staffing Hours per Resident per Day
0.70085
Expected RN Staffing Hours per Resident per Day
1.23105
Expected Total Nurse Staffing Hours per Resident per Day
4.49051
Adjusted CNA Staffing Hours per Resident per Day
1.99791
Adjusted LPN Staffing Hours per Resident per Day
1.16288
Adjusted RN Staffing Hours per Resident per Day
0.47040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44721
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-26
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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