Ohio Veterans Home - Georgetown - Georgetown Nursing Home
General Information
UPDATEFederal Provider Number
366351
Provider Name
OHIO VETERANS HOME - GEORGETOWN
Provider Address
2003 VETERANS BLVD
GEORGETOWN, OH 45121
GEORGETOWN, OH 45121
Provider Phone Number
(937) 378-2900
Provider SSA County
70
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
168
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Date First Approved to Provide Medicare and Medicaid services
2008-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08307
Reported LPN Staffing Hours per Resident per Day
1.13819
Reported RN Staffing Hours per Resident per Day
0.51732
Reported Licensed Staffing Hours per Resident per Day
1.65551
Reported Total Nurse Staffing Hours per Resident per Day
3.73858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01693
Expected CNA Staffing Hours per Resident per Day
2.34901
Expected LPN Staffing Hours per Resident per Day
0.61060
Expected RN Staffing Hours per Resident per Day
0.83326
Expected Total Nurse Staffing Hours per Resident per Day
3.79287
Adjusted CNA Staffing Hours per Resident per Day
2.17591
Adjusted LPN Staffing Hours per Resident per Day
1.54715
Adjusted RN Staffing Hours per Resident per Day
0.46389
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97320
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
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
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2011-09-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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