Park Health Center - St Clairsville Nursing Home
General Information
UPDATEFederal Provider Number
365975
Provider Name
PARK HEALTH CENTER
Provider Address
100 PINE AVENUE
ST CLAIRSVILLE, OH 43950
ST CLAIRSVILLE, OH 43950
Provider Phone Number
(740) 695-4925
Provider SSA County
60
Provider County Name
Belmont
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
89
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
1994-09-27
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.05955
Reported LPN Staffing Hours per Resident per Day
1.06854
Reported RN Staffing Hours per Resident per Day
0.74157
Reported Licensed Staffing Hours per Resident per Day
1.81011
Reported Total Nurse Staffing Hours per Resident per Day
3.86966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09775
Expected CNA Staffing Hours per Resident per Day
2.52213
Expected LPN Staffing Hours per Resident per Day
0.71536
Expected RN Staffing Hours per Resident per Day
1.31452
Expected Total Nurse Staffing Hours per Resident per Day
4.55201
Adjusted CNA Staffing Hours per Resident per Day
2.00367
Adjusted LPN Staffing Hours per Resident per Day
1.23979
Adjusted RN Staffing Hours per Resident per Day
0.42152
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42666
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-24
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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