Riverside Manor Nrsg & Rehab Ctr - Newcomerstown Nursing Home

General Information

UPDATE
Federal Provider Number
365429
Provider Name
RIVERSIDE MANOR NRSG & REHAB CTR
Provider Address
1100 EAST STATE ROAD
NEWCOMERSTOWN, OH 43832
Provider Phone Number
(740) 498-5165
Provider SSA County
800
Provider County Name
Tuscarawas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEWCOMERSTOWN PROGRESS CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1979-09-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.91034
Reported LPN Staffing Hours per Resident per Day
0.83966
Reported RN Staffing Hours per Resident per Day
0.65517
Reported Licensed Staffing Hours per Resident per Day
1.49483
Reported Total Nurse Staffing Hours per Resident per Day
4.40517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06149
Expected CNA Staffing Hours per Resident per Day
2.46255
Expected LPN Staffing Hours per Resident per Day
0.71460
Expected RN Staffing Hours per Resident per Day
1.21773
Expected Total Nurse Staffing Hours per Resident per Day
4.39487
Adjusted CNA Staffing Hours per Resident per Day
2.89988
Adjusted LPN Staffing Hours per Resident per Day
0.97526
Adjusted RN Staffing Hours per Resident per Day
0.40201
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04035
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
102
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
102
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
4
Cycle 2 Standard Health Survey Date
2013-11-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
57.00000
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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