Pickerington Nursing & Rehabilitation Center - Pickerington Nursing Home
General Information
UPDATEFederal Provider Number
365636
Provider Name
PICKERINGTON NURSING & REHABILITATION CENTER
Provider Address
1300 HILL ROAD NORTH
PICKERINGTON, OH 43147
PICKERINGTON, OH 43147
Provider Phone Number
(614) 863-1858
Provider SSA County
230
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
96
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PICKERINGTON HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.28851
Reported LPN Staffing Hours per Resident per Day
0.85338
Reported RN Staffing Hours per Resident per Day
0.86757
Reported Licensed Staffing Hours per Resident per Day
1.72095
Reported Total Nurse Staffing Hours per Resident per Day
4.00946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10068
Expected CNA Staffing Hours per Resident per Day
2.32855
Expected LPN Staffing Hours per Resident per Day
0.71980
Expected RN Staffing Hours per Resident per Day
1.22821
Expected Total Nurse Staffing Hours per Resident per Day
4.27655
Adjusted CNA Staffing Hours per Resident per Day
2.41151
Adjusted LPN Staffing Hours per Resident per Day
0.98404
Adjusted RN Staffing Hours per Resident per Day
0.52780
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77915
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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