Oak Creek Terrace Inc - Kettering Nursing Home
General Information
UPDATEFederal Provider Number
365899
Provider Name
OAK CREEK TERRACE INC
Provider Address
2316 SPRINGMILL ROAD
KETTERING, OH 45440
KETTERING, OH 45440
Provider Phone Number
(937) 439-1454
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK CREEK TERRACE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-12-09
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.10692
Reported LPN Staffing Hours per Resident per Day
1.77846
Reported RN Staffing Hours per Resident per Day
0.54308
Reported Licensed Staffing Hours per Resident per Day
2.32154
Reported Total Nurse Staffing Hours per Resident per Day
4.42846
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01538
Expected CNA Staffing Hours per Resident per Day
2.55247
Expected LPN Staffing Hours per Resident per Day
0.66441
Expected RN Staffing Hours per Resident per Day
1.08617
Expected Total Nurse Staffing Hours per Resident per Day
4.30305
Adjusted CNA Staffing Hours per Resident per Day
2.02539
Adjusted LPN Staffing Hours per Resident per Day
2.22172
Adjusted RN Staffing Hours per Resident per Day
0.37360
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14837
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
0
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
2012-01-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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