Quaker Heights Nursing Home - Waynesville Nursing Home

General Information

UPDATE
Federal Provider Number
365974
Provider Name
QUAKER HEIGHTS NURSING HOME
Provider Address
514 WEST HIGH STREET
WAYNESVILLE, OH 45068
Provider Phone Number
5138976050
Provider SSA County
840
Provider County Name
Warren
Ownership Type
Non profit - Church related
Number of Certified Beds
98
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
3
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
1.66310
Reported LPN Staffing Hours per Resident per Day
0.90119
Reported RN Staffing Hours per Resident per Day
0.83095
Reported Licensed Staffing Hours per Resident per Day
1.73214
Reported Total Nurse Staffing Hours per Resident per Day
3.39524
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02143
Expected CNA Staffing Hours per Resident per Day
2.33671
Expected LPN Staffing Hours per Resident per Day
0.66200
Expected RN Staffing Hours per Resident per Day
1.23875
Expected Total Nurse Staffing Hours per Resident per Day
4.23747
Adjusted CNA Staffing Hours per Resident per Day
1.74636
Adjusted LPN Staffing Hours per Resident per Day
1.12989
Adjusted RN Staffing Hours per Resident per Day
0.50122
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22973
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-27
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
28
Cycle 2 Standard Health Survey Date
2012-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-08-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1755
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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