Residence At Kensington Place - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
365457
Provider Name
RESIDENCE AT KENSINGTON PLACE
Provider Address
751 KENSINGTON STREET
MIDDLETOWN, OH 45044
MIDDLETOWN, OH 45044
Provider Phone Number
(513) 424-3511
Provider SSA County
80
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
90
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
1980-03-20
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
2.53056
Reported LPN Staffing Hours per Resident per Day
1.10611
Reported RN Staffing Hours per Resident per Day
0.73056
Reported Licensed Staffing Hours per Resident per Day
1.83667
Reported Total Nurse Staffing Hours per Resident per Day
4.36723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04778
Expected CNA Staffing Hours per Resident per Day
2.59079
Expected LPN Staffing Hours per Resident per Day
0.83911
Expected RN Staffing Hours per Resident per Day
1.33880
Expected Total Nurse Staffing Hours per Resident per Day
4.76870
Adjusted CNA Staffing Hours per Resident per Day
2.39666
Adjusted LPN Staffing Hours per Resident per Day
1.09409
Adjusted RN Staffing Hours per Resident per Day
0.40773
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69154
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-12-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-09-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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