Rest Haven Nursing Home Inc - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
365448
Provider Name
REST HAVEN NURSING HOME INC
Provider Address
1096 NORTH OHIO STREET
GREENVILLE, OH 45331
GREENVILLE, OH 45331
Provider Phone Number
(937) 548-1138
Provider SSA County
190
Provider County Name
Darke
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RESTHAVEN OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1980-03-03
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65118
Reported LPN Staffing Hours per Resident per Day
0.75647
Reported RN Staffing Hours per Resident per Day
0.53353
Reported Licensed Staffing Hours per Resident per Day
1.29000
Reported Total Nurse Staffing Hours per Resident per Day
3.94118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04118
Expected CNA Staffing Hours per Resident per Day
2.68810
Expected LPN Staffing Hours per Resident per Day
0.74994
Expected RN Staffing Hours per Resident per Day
1.16900
Expected Total Nurse Staffing Hours per Resident per Day
4.60704
Adjusted CNA Staffing Hours per Resident per Day
2.42000
Adjusted LPN Staffing Hours per Resident per Day
0.83723
Adjusted RN Staffing Hours per Resident per Day
0.34102
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44831
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
2015-04-09
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
24
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
5.33300
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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