Piqua Manor - Piqua Nursing Home

General Information

UPDATE
Federal Provider Number
365265
Provider Name
PIQUA MANOR
Provider Address
1840 WEST HIGH STREET
PIQUA, OH 45356
Provider Phone Number
(937) 773-0040
Provider SSA County
560
Provider County Name
Miami
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF PIQUA, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-08-19
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.45163
Reported LPN Staffing Hours per Resident per Day
0.90217
Reported RN Staffing Hours per Resident per Day
0.72065
Reported Licensed Staffing Hours per Resident per Day
1.62283
Reported Total Nurse Staffing Hours per Resident per Day
4.07445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05272
Expected CNA Staffing Hours per Resident per Day
2.56152
Expected LPN Staffing Hours per Resident per Day
0.70987
Expected RN Staffing Hours per Resident per Day
1.24597
Expected Total Nurse Staffing Hours per Resident per Day
4.51736
Adjusted CNA Staffing Hours per Resident per Day
2.34844
Adjusted LPN Staffing Hours per Resident per Day
1.05484
Adjusted RN Staffing Hours per Resident per Day
0.43217
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63568
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-05
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
13.33300
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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