Ohio Nursing Homes >> Delphos Nursing Homes >> Sarah Jane Living Center

Sarah Jane Living Center - Delphos Nursing Home

General Information

UPDATE
Federal Provider Number
366211
Provider Name
SARAH JANE LIVING CENTER
Provider Address
328 WEST SECOND STREET
DELPHOS, OH 45833
Provider Phone Number
(419) 692-6618
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SARAH JANE LIVING CENTER
Date First Approved to Provide Medicare and Medicaid services
2001-02-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
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
2.41786
Reported LPN Staffing Hours per Resident per Day
0.42857
Reported RN Staffing Hours per Resident per Day
0.69107
Reported Licensed Staffing Hours per Resident per Day
1.11964
Reported Total Nurse Staffing Hours per Resident per Day
3.53750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01071
Expected CNA Staffing Hours per Resident per Day
2.69852
Expected LPN Staffing Hours per Resident per Day
0.60202
Expected RN Staffing Hours per Resident per Day
0.87341
Expected Total Nurse Staffing Hours per Resident per Day
4.17395
Adjusted CNA Staffing Hours per Resident per Day
2.19851
Adjusted LPN Staffing Hours per Resident per Day
0.59087
Adjusted RN Staffing Hours per Resident per Day
0.59121
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41627
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-13
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
2013-09-18
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
2012-12-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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