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Pickaway Manor Care Center - Circleville Nursing Home

General Information

UPDATE
Federal Provider Number
365556
Provider Name
PICKAWAY MANOR CARE CENTER
Provider Address
391 CLARK DRIVE
CIRCLEVILLE, OH 43113
Provider Phone Number
(740) 474-6036
Provider SSA County
660
Provider County Name
Pickaway
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MACINTOSH COMPANY
Date First Approved to Provide Medicare and Medicaid services
1981-05-18
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
0.00000
Reported LPN Staffing Hours per Resident per Day
0.86875
Reported RN Staffing Hours per Resident per Day
0.75795
Reported Licensed Staffing Hours per Resident per Day
1.62670
Reported Total Nurse Staffing Hours per Resident per Day
1.62670
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04716
Expected CNA Staffing Hours per Resident per Day
2.60404
Expected LPN Staffing Hours per Resident per Day
0.70741
Expected RN Staffing Hours per Resident per Day
1.14757
Expected Total Nurse Staffing Hours per Resident per Day
4.45903
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
1.01930
Adjusted RN Staffing Hours per Resident per Day
0.49351
Adjusted Total Nurse Staffing Hours per Resident per Day
1.47052
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2012-01-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
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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