Oak Pavilion Nursing Center - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
365148
Provider Name
OAK PAVILION NURSING CENTER
Provider Address
510 OAK STREET
CINCINNATI, OH 45219
CINCINNATI, OH 45219
Provider Phone Number
(513) 751-0880
Provider SSA County
310
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEREGRINE HEALTH SERVICES OF CINCINNATI, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-30
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.00946
Reported LPN Staffing Hours per Resident per Day
1.00315
Reported RN Staffing Hours per Resident per Day
0.61622
Reported Licensed Staffing Hours per Resident per Day
1.61937
Reported Total Nurse Staffing Hours per Resident per Day
3.62883
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15315
Expected CNA Staffing Hours per Resident per Day
2.36229
Expected LPN Staffing Hours per Resident per Day
0.75599
Expected RN Staffing Hours per Resident per Day
1.29800
Expected Total Nurse Staffing Hours per Resident per Day
4.41628
Adjusted CNA Staffing Hours per Resident per Day
2.08721
Adjusted LPN Staffing Hours per Resident per Day
1.10136
Adjusted RN Staffing Hours per Resident per Day
0.35473
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31217
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-21
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
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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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