Ohio Eastern Star Hlth Care Ctr The - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
366076
Provider Name
OHIO EASTERN STAR HLTH CARE CTR THE
Provider Address
1451 GAMBIER ROAD
MOUNT VERNON, OH 43050
MOUNT VERNON, OH 43050
Provider Phone Number
(740) 397-1706
Provider SSA County
430
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OHIO EASTERN STAR HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-07-25
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
4
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
3.19880
Reported LPN Staffing Hours per Resident per Day
0.77289
Reported RN Staffing Hours per Resident per Day
1.00723
Reported Licensed Staffing Hours per Resident per Day
1.78012
Reported Total Nurse Staffing Hours per Resident per Day
4.97892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04458
Expected CNA Staffing Hours per Resident per Day
2.37372
Expected LPN Staffing Hours per Resident per Day
0.67355
Expected RN Staffing Hours per Resident per Day
1.22679
Expected Total Nurse Staffing Hours per Resident per Day
4.27406
Adjusted CNA Staffing Hours per Resident per Day
3.30658
Adjusted LPN Staffing Hours per Resident per Day
0.95242
Adjusted RN Staffing Hours per Resident per Day
0.61347
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69566
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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