Otterbein Lebanon Retirement Community - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
365346
Provider Name
OTTERBEIN LEBANON RETIREMENT COMMUNITY
Provider Address
585 NORTH STATE ROUTE 741
LEBANON, OH 45036
LEBANON, OH 45036
Provider Phone Number
(513) 933-5427
Provider SSA County
840
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
256
Number of Residents in Certified Beds
244
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OTTERBEIN LEBANON
Date First Approved to Provide Medicare and Medicaid services
1977-03-14
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
4
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
2.39508
Reported LPN Staffing Hours per Resident per Day
0.87008
Reported RN Staffing Hours per Resident per Day
0.71270
Reported Licensed Staffing Hours per Resident per Day
1.58279
Reported Total Nurse Staffing Hours per Resident per Day
3.97786
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03914
Expected CNA Staffing Hours per Resident per Day
2.51907
Expected LPN Staffing Hours per Resident per Day
0.69468
Expected RN Staffing Hours per Resident per Day
1.13405
Expected Total Nurse Staffing Hours per Resident per Day
4.34780
Adjusted CNA Staffing Hours per Resident per Day
2.33293
Adjusted LPN Staffing Hours per Resident per Day
1.03957
Adjusted RN Staffing Hours per Resident per Day
0.46958
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68793
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-11-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
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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