Orchard Villa - Oregon Nursing Home
General Information
UPDATEFederal Provider Number
366068
Provider Name
ORCHARD VILLA
Provider Address
2841 MUNDING DRIVE
OREGON, OH 43616
OREGON, OH 43616
Provider Phone Number
(419) 697-4100
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
158
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OREGON HEALTH INVESTORS, COMPANY
Date First Approved to Provide Medicare and Medicaid services
1996-07-16
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
5
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
2.33953
Reported LPN Staffing Hours per Resident per Day
0.97791
Reported RN Staffing Hours per Resident per Day
0.90814
Reported Licensed Staffing Hours per Resident per Day
1.88605
Reported Total Nurse Staffing Hours per Resident per Day
4.22558
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06202
Expected CNA Staffing Hours per Resident per Day
2.64491
Expected LPN Staffing Hours per Resident per Day
0.84918
Expected RN Staffing Hours per Resident per Day
1.45545
Expected Total Nurse Staffing Hours per Resident per Day
4.94954
Adjusted CNA Staffing Hours per Resident per Day
2.17040
Adjusted LPN Staffing Hours per Resident per Day
0.95582
Adjusted RN Staffing Hours per Resident per Day
0.46622
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44131
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.66700
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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