Rest Haven Nursing Home - Mcdermott Nursing Home
General Information
UPDATEFederal Provider Number
366107
Provider Name
REST HAVEN NURSING HOME
Provider Address
2274 MCDERMOTT POND CREEK ROAD
MCDERMOTT, OH 45652
MCDERMOTT, OH 45652
Provider Phone Number
7402592838
Provider SSA County
740
Provider County Name
Scioto
Ownership Type
For profit - Corporation
Number of Certified Beds
23
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VOIERS ENTERPRISES, INC
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34048
Reported LPN Staffing Hours per Resident per Day
0.93095
Reported RN Staffing Hours per Resident per Day
0.90714
Reported Licensed Staffing Hours per Resident per Day
1.83810
Reported Total Nurse Staffing Hours per Resident per Day
4.17857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00952
Expected CNA Staffing Hours per Resident per Day
2.55187
Expected LPN Staffing Hours per Resident per Day
0.72149
Expected RN Staffing Hours per Resident per Day
1.31765
Expected Total Nurse Staffing Hours per Resident per Day
4.59100
Adjusted CNA Staffing Hours per Resident per Day
2.25045
Adjusted LPN Staffing Hours per Resident per Day
1.07096
Adjusted RN Staffing Hours per Resident per Day
0.51441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66878
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-10
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
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
2014-03-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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