Shawneespring Health Care Center - Harrison Nursing Home
General Information
UPDATEFederal Provider Number
366320
Provider Name
SHAWNEESPRING HEALTH CARE CENTER
Provider Address
10111 SIMONSON ROAD
HARRISON, OH 45030
HARRISON, OH 45030
Provider Phone Number
(513) 367-7780
Provider SSA County
310
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHAWNEESPRING HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-25
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.10455
Reported LPN Staffing Hours per Resident per Day
0.66694
Reported RN Staffing Hours per Resident per Day
0.95124
Reported Licensed Staffing Hours per Resident per Day
1.61818
Reported Total Nurse Staffing Hours per Resident per Day
3.72273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15248
Expected CNA Staffing Hours per Resident per Day
2.53769
Expected LPN Staffing Hours per Resident per Day
0.76494
Expected RN Staffing Hours per Resident per Day
1.39600
Expected Total Nurse Staffing Hours per Resident per Day
4.69863
Adjusted CNA Staffing Hours per Resident per Day
2.03490
Adjusted LPN Staffing Hours per Resident per Day
0.72366
Adjusted RN Staffing Hours per Resident per Day
0.50914
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19369
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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