Sarah Moore Health Care Center - Delaware Nursing Home
General Information
UPDATEFederal Provider Number
366310
Provider Name
SARAH MOORE HEALTH CARE CENTER
Provider Address
26 NORTH UNION STREET
DELAWARE, OH 43015
DELAWARE, OH 43015
Provider Phone Number
(740) 362-9641
Provider SSA County
210
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SARAH MOORE HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2005-04-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
1.90000
Reported LPN Staffing Hours per Resident per Day
0.76774
Reported RN Staffing Hours per Resident per Day
1.40484
Reported Licensed Staffing Hours per Resident per Day
2.17258
Reported Total Nurse Staffing Hours per Resident per Day
4.07258
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01774
Expected CNA Staffing Hours per Resident per Day
2.66133
Expected LPN Staffing Hours per Resident per Day
0.61942
Expected RN Staffing Hours per Resident per Day
1.03257
Expected Total Nurse Staffing Hours per Resident per Day
4.31333
Adjusted CNA Staffing Hours per Resident per Day
1.75176
Adjusted LPN Staffing Hours per Resident per Day
1.02875
Adjusted RN Staffing Hours per Resident per Day
1.01658
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80592
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
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
12
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
2013-08-08
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
10
Cycle 3 Total Health Score
30
Total Weighted Health Survey Score
11.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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