Ohio Nursing Homes >> Cridersville Nursing Homes >> Otterbein-cridersville

Otterbein-cridersville - Cridersville Nursing Home

General Information

UPDATE
Federal Provider Number
366050
Provider Name
OTTERBEIN-CRIDERSVILLE
Provider Address
100 RED OAK DRIVE
CRIDERSVILLE, OH 45806
Provider Phone Number
(419) 645-5114
Provider SSA County
50
Provider County Name
Auglaize
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OTTERBEIN CRIDERSVILLE
Date First Approved to Provide Medicare and Medicaid services
1996-03-08
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.48429
Reported LPN Staffing Hours per Resident per Day
0.43429
Reported RN Staffing Hours per Resident per Day
0.89571
Reported Licensed Staffing Hours per Resident per Day
1.33000
Reported Total Nurse Staffing Hours per Resident per Day
3.81429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04143
Expected CNA Staffing Hours per Resident per Day
2.54390
Expected LPN Staffing Hours per Resident per Day
0.69224
Expected RN Staffing Hours per Resident per Day
1.24126
Expected Total Nurse Staffing Hours per Resident per Day
4.47740
Adjusted CNA Staffing Hours per Resident per Day
2.39621
Adjusted LPN Staffing Hours per Resident per Day
0.52071
Adjusted RN Staffing Hours per Resident per Day
0.53919
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43392
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
2014-08-07
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-02-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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