Perrysburg Care And Rehabilitation Center - Perrysburg Nursing Home
General Information
UPDATEFederal Provider Number
365624
Provider Name
PERRYSBURG CARE AND REHABILITATION CENTER
Provider Address
28546 STARBRIGHT BLVD
PERRYSBURG, OH 43551
PERRYSBURG, OH 43551
Provider Phone Number
(419) 666-0935
Provider SSA County
880
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELMONT NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1984-07-17
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.61410
Reported LPN Staffing Hours per Resident per Day
0.56346
Reported RN Staffing Hours per Resident per Day
0.90449
Reported Licensed Staffing Hours per Resident per Day
1.46795
Reported Total Nurse Staffing Hours per Resident per Day
3.08205
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04744
Expected CNA Staffing Hours per Resident per Day
2.38083
Expected LPN Staffing Hours per Resident per Day
0.64953
Expected RN Staffing Hours per Resident per Day
1.28885
Expected Total Nurse Staffing Hours per Resident per Day
4.31922
Adjusted CNA Staffing Hours per Resident per Day
1.66350
Adjusted LPN Staffing Hours per Resident per Day
0.72001
Adjusted RN Staffing Hours per Resident per Day
0.52437
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87632
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-29
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
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
2012-03-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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