Providence Care Center - Sandusky Nursing Home
General Information
UPDATEFederal Provider Number
365976
Provider Name
PROVIDENCE CARE CENTER
Provider Address
2025 HAYES AVENUE
SANDUSKY, OH 44870
SANDUSKY, OH 44870
Provider Phone Number
(419) 627-2273
Provider SSA County
220
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
138
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROVIDENCE CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.53906
Reported LPN Staffing Hours per Resident per Day
0.95586
Reported RN Staffing Hours per Resident per Day
0.64180
Reported Licensed Staffing Hours per Resident per Day
1.59766
Reported Total Nurse Staffing Hours per Resident per Day
4.13672
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05586
Expected CNA Staffing Hours per Resident per Day
2.55489
Expected LPN Staffing Hours per Resident per Day
0.70754
Expected RN Staffing Hours per Resident per Day
1.24502
Expected Total Nurse Staffing Hours per Resident per Day
4.50744
Adjusted CNA Staffing Hours per Resident per Day
2.43850
Adjusted LPN Staffing Hours per Resident per Day
1.12130
Adjusted RN Staffing Hours per Resident per Day
0.38518
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69937
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
2014-03-13
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-12-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-08-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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