Rosewood Manor - Yorkville Nursing Home
General Information
UPDATEFederal Provider Number
366204
Provider Name
ROSEWOOD MANOR
Provider Address
212 FOURTH STREET
YORKVILLE, OH 43971
YORKVILLE, OH 43971
Provider Phone Number
7408596496
Provider SSA County
420
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORD HULL MAR NURSING HOME INC.
Date First Approved to Provide Medicare and Medicaid services
2000-11-18
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.83077
Reported LPN Staffing Hours per Resident per Day
0.45577
Reported RN Staffing Hours per Resident per Day
1.02885
Reported Licensed Staffing Hours per Resident per Day
1.48462
Reported Total Nurse Staffing Hours per Resident per Day
3.31539
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01154
Expected CNA Staffing Hours per Resident per Day
2.20957
Expected LPN Staffing Hours per Resident per Day
0.62691
Expected RN Staffing Hours per Resident per Day
1.10586
Expected Total Nurse Staffing Hours per Resident per Day
3.94234
Adjusted CNA Staffing Hours per Resident per Day
2.03304
Adjusted LPN Staffing Hours per Resident per Day
0.60342
Adjusted RN Staffing Hours per Resident per Day
0.69517
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38987
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
423
Cycle 1 Standard Survey Health Date
2014-12-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
212
Cycle 1 Total Health Score
635
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
32
Cycle 3 Number of Standard Health Deficiencies
32
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
304
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
152
Cycle 3 Total Health Score
456
Total Weighted Health Survey Score
412.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
101172
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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