Ruffing Family Care Ctr Of Blo - Bloomville Nursing Home
General Information
UPDATEFederal Provider Number
365982
Provider Name
RUFFING FAMILY CARE CTR OF BLO
Provider Address
22 CLINTON STREET
BLOOMVILLE, OH 44818
BLOOMVILLE, OH 44818
Provider Phone Number
(419) 983-2021
Provider SSA County
750
Provider County Name
Seneca
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STJ HEALTHCARE
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40526
Reported LPN Staffing Hours per Resident per Day
0.56579
Reported RN Staffing Hours per Resident per Day
1.30263
Reported Licensed Staffing Hours per Resident per Day
1.86842
Reported Total Nurse Staffing Hours per Resident per Day
4.27368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00263
Expected CNA Staffing Hours per Resident per Day
2.46896
Expected LPN Staffing Hours per Resident per Day
0.59014
Expected RN Staffing Hours per Resident per Day
0.85613
Expected Total Nurse Staffing Hours per Resident per Day
3.91522
Adjusted CNA Staffing Hours per Resident per Day
2.39040
Adjusted LPN Staffing Hours per Resident per Day
0.79576
Adjusted RN Staffing Hours per Resident per Day
1.13689
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39995
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-03-20
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.66700
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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