Shelby Pointe, Inc - Shelby Nursing Home
General Information
UPDATEFederal Provider Number
365331
Provider Name
SHELBY POINTE, INC
Provider Address
100 ROGERS LANE
SHELBY, OH 44875
SHELBY, OH 44875
Provider Phone Number
(419) 347-1313
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHELBY POINTE LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-08
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06923
Reported LPN Staffing Hours per Resident per Day
0.83205
Reported RN Staffing Hours per Resident per Day
0.52051
Reported Licensed Staffing Hours per Resident per Day
1.35256
Reported Total Nurse Staffing Hours per Resident per Day
3.42179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10385
Expected CNA Staffing Hours per Resident per Day
2.11865
Expected LPN Staffing Hours per Resident per Day
0.63077
Expected RN Staffing Hours per Resident per Day
1.37189
Expected Total Nurse Staffing Hours per Resident per Day
4.12131
Adjusted CNA Staffing Hours per Resident per Day
2.39647
Adjusted LPN Staffing Hours per Resident per Day
1.09485
Adjusted RN Staffing Hours per Resident per Day
0.28350
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34673
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
24
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
32.66700
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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