National Church Residences Chillicothe - Chillicothe Nursing Home
General Information
UPDATEFederal Provider Number
366338
Provider Name
NATIONAL CHURCH RESIDENCES CHILLICOTHE
Provider Address
142 UNIVERSITY DRIVE
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
Provider Phone Number
(740) 773-8107
Provider SSA County
720
Provider County Name
Ross
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRADITIONS OF CHILLICOTHE
Date First Approved to Provide Medicare and Medicaid services
2007-02-13
Continuing Care Retirement Community
Y
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.47945
Reported LPN Staffing Hours per Resident per Day
1.26027
Reported RN Staffing Hours per Resident per Day
0.83699
Reported Licensed Staffing Hours per Resident per Day
2.09726
Reported Total Nurse Staffing Hours per Resident per Day
5.57671
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09384
Expected CNA Staffing Hours per Resident per Day
2.57544
Expected LPN Staffing Hours per Resident per Day
0.71643
Expected RN Staffing Hours per Resident per Day
1.21460
Expected Total Nurse Staffing Hours per Resident per Day
4.50647
Adjusted CNA Staffing Hours per Resident per Day
3.31497
Adjusted LPN Staffing Hours per Resident per Day
1.46006
Adjusted RN Staffing Hours per Resident per Day
0.51490
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98820
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-04-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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