New Lebanon Care And Rehabilitation Center - New Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
365897
Provider Name
NEW LEBANON CARE AND REHABILITATION CENTER
Provider Address
101 MILLS PLACE
NEW LEBANON, OH 45345
NEW LEBANON, OH 45345
Provider Phone Number
9376871311
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE OF DAYTON LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.09247
Reported LPN Staffing Hours per Resident per Day
1.01774
Reported RN Staffing Hours per Resident per Day
0.73065
Reported Licensed Staffing Hours per Resident per Day
1.74839
Reported Total Nurse Staffing Hours per Resident per Day
3.84086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06129
Expected CNA Staffing Hours per Resident per Day
2.35548
Expected LPN Staffing Hours per Resident per Day
0.76428
Expected RN Staffing Hours per Resident per Day
1.32693
Expected Total Nurse Staffing Hours per Resident per Day
4.44669
Adjusted CNA Staffing Hours per Resident per Day
2.17972
Adjusted LPN Staffing Hours per Resident per Day
1.10526
Adjusted RN Staffing Hours per Resident per Day
0.41143
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48172
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
2
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
Nursiong Homes Nearby
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Englewood Manor Inc
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