Park View Nursing Center - Edgerton Nursing Home
General Information
UPDATEFederal Provider Number
365570
Provider Name
PARK VIEW NURSING CENTER
Provider Address
328 WEST VINE STREET
EDGERTON, OH 43517
EDGERTON, OH 43517
Provider Phone Number
(419) 298-2321
Provider SSA County
870
Provider County Name
Williams
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEREGRINE HEALTH SERVICES OF EDGERTON,LLC
Date First Approved to Provide Medicare and Medicaid services
1981-10-30
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91121
Reported LPN Staffing Hours per Resident per Day
0.58276
Reported RN Staffing Hours per Resident per Day
0.53362
Reported Licensed Staffing Hours per Resident per Day
1.11638
Reported Total Nurse Staffing Hours per Resident per Day
3.02759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01810
Expected CNA Staffing Hours per Resident per Day
2.31793
Expected LPN Staffing Hours per Resident per Day
0.72616
Expected RN Staffing Hours per Resident per Day
1.25205
Expected Total Nurse Staffing Hours per Resident per Day
4.29613
Adjusted CNA Staffing Hours per Resident per Day
2.02316
Adjusted LPN Staffing Hours per Resident per Day
0.66610
Adjusted RN Staffing Hours per Resident per Day
0.31846
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84068
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
306
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
306
Total Weighted Health Survey Score
72.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
38253
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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