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Piketon Nursing Center - Piketon Nursing Home

General Information

UPDATE
Federal Provider Number
365961
Provider Name
PIKETON NURSING CENTER
Provider Address
300 OVERLOOK DRIVE
PIKETON, OH 45661
Provider Phone Number
(740) 289-4074
Provider SSA County
670
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PIKETON FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-05-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.64250
Reported LPN Staffing Hours per Resident per Day
0.87125
Reported RN Staffing Hours per Resident per Day
0.72000
Reported Licensed Staffing Hours per Resident per Day
1.59125
Reported Total Nurse Staffing Hours per Resident per Day
3.23375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01625
Expected CNA Staffing Hours per Resident per Day
2.35975
Expected LPN Staffing Hours per Resident per Day
0.75336
Expected RN Staffing Hours per Resident per Day
1.35342
Expected Total Nurse Staffing Hours per Resident per Day
4.46653
Adjusted CNA Staffing Hours per Resident per Day
1.70789
Adjusted LPN Staffing Hours per Resident per Day
0.95989
Adjusted RN Staffing Hours per Resident per Day
0.39750
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91835
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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