Ohio Nursing Homes >> Perrysburg Nursing Homes >> Otterbein Perrysburg

Otterbein Perrysburg - Perrysburg Nursing Home

General Information

UPDATE
Federal Provider Number
366354
Provider Name
OTTERBEIN PERRYSBURG
Provider Address
3525 - 3533 RIVERS EDGE DRIVE
PERRYSBURG, OH 43551
Provider Phone Number
(419) 874-2428
Provider SSA County
880
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-10-02
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
4.76778
Reported LPN Staffing Hours per Resident per Day
0.52222
Reported RN Staffing Hours per Resident per Day
0.73444
Reported Licensed Staffing Hours per Resident per Day
1.25667
Reported Total Nurse Staffing Hours per Resident per Day
6.02444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03778
Expected CNA Staffing Hours per Resident per Day
2.50033
Expected LPN Staffing Hours per Resident per Day
0.72174
Expected RN Staffing Hours per Resident per Day
1.30219
Expected Total Nurse Staffing Hours per Resident per Day
4.52426
Adjusted CNA Staffing Hours per Resident per Day
4.67887
Adjusted LPN Staffing Hours per Resident per Day
0.60055
Adjusted RN Staffing Hours per Resident per Day
0.42142
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36749
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-10
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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