Oak Grove Center - Deshler Nursing Home

General Information

UPDATE
Federal Provider Number
365767
Provider Name
OAK GROVE CENTER
Provider Address
620 E WATER ST
DESHLER, OH 43516
Provider Phone Number
4192786921
Provider SSA County
360
Provider County Name
Henry
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAST WATER LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-19
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.39333
Reported LPN Staffing Hours per Resident per Day
0.51167
Reported RN Staffing Hours per Resident per Day
0.85500
Reported Licensed Staffing Hours per Resident per Day
1.36667
Reported Total Nurse Staffing Hours per Resident per Day
3.76000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03833
Expected CNA Staffing Hours per Resident per Day
2.44836
Expected LPN Staffing Hours per Resident per Day
0.68716
Expected RN Staffing Hours per Resident per Day
1.22912
Expected Total Nurse Staffing Hours per Resident per Day
4.36464
Adjusted CNA Staffing Hours per Resident per Day
2.39855
Adjusted LPN Staffing Hours per Resident per Day
0.61803
Adjusted RN Staffing Hours per Resident per Day
0.51977
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47249
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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