Ohio Nursing Homes >> Spencerville Nursing Homes >> Roselawn Manor

Roselawn Manor - Spencerville Nursing Home

General Information

UPDATE
Federal Provider Number
365744
Provider Name
ROSELAWN MANOR
Provider Address
420 EAST FOURTH STREET
SPENCERVILLE, OH 45887
Provider Phone Number
(419) 647-4115
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF ROSELAWN, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-08-15
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
2
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
2.59412
Reported LPN Staffing Hours per Resident per Day
0.36863
Reported RN Staffing Hours per Resident per Day
0.76765
Reported Licensed Staffing Hours per Resident per Day
1.13627
Reported Total Nurse Staffing Hours per Resident per Day
3.73040
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22451
Expected CNA Staffing Hours per Resident per Day
2.45752
Expected LPN Staffing Hours per Resident per Day
0.65934
Expected RN Staffing Hours per Resident per Day
1.18624
Expected Total Nurse Staffing Hours per Resident per Day
4.30310
Adjusted CNA Staffing Hours per Resident per Day
2.59009
Adjusted LPN Staffing Hours per Resident per Day
0.46404
Adjusted RN Staffing Hours per Resident per Day
0.48353
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49442
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
8
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2014-03-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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