Newark Hills Health And Rehabilitation Center - Newark Nursing Home
General Information
UPDATEFederal Provider Number
366196
Provider Name
NEWARK HILLS HEALTH AND REHABILITATION CENTER
Provider Address
17 FORRY STREET
NEWARK, OH 43055
NEWARK, OH 43055
Provider Phone Number
(740) 349-8175
Provider SSA County
460
Provider County Name
Licking
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2000-04-25
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09756
Reported LPN Staffing Hours per Resident per Day
0.40732
Reported RN Staffing Hours per Resident per Day
1.25732
Reported Licensed Staffing Hours per Resident per Day
1.66463
Reported Total Nurse Staffing Hours per Resident per Day
3.76220
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06951
Expected CNA Staffing Hours per Resident per Day
2.47789
Expected LPN Staffing Hours per Resident per Day
0.66770
Expected RN Staffing Hours per Resident per Day
1.12116
Expected Total Nurse Staffing Hours per Resident per Day
4.26675
Adjusted CNA Staffing Hours per Resident per Day
2.07709
Adjusted LPN Staffing Hours per Resident per Day
0.50633
Adjusted RN Staffing Hours per Resident per Day
0.83794
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55424
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-09-18
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
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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