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Sidney Care Center - Sidney Nursing Home

General Information

UPDATE
Federal Provider Number
366033
Provider Name
SIDNEY CARE CENTER
Provider Address
510 BUCKEYE STREET
SIDNEY, OH 45365
Provider Phone Number
(937) 492-3171
Provider SSA County
760
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-11-18
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.36939
Reported LPN Staffing Hours per Resident per Day
0.67245
Reported RN Staffing Hours per Resident per Day
0.58878
Reported Licensed Staffing Hours per Resident per Day
1.26122
Reported Total Nurse Staffing Hours per Resident per Day
2.63062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03163
Expected CNA Staffing Hours per Resident per Day
2.62111
Expected LPN Staffing Hours per Resident per Day
0.80514
Expected RN Staffing Hours per Resident per Day
1.31557
Expected Total Nurse Staffing Hours per Resident per Day
4.74181
Adjusted CNA Staffing Hours per Resident per Day
1.28193
Adjusted LPN Staffing Hours per Resident per Day
0.69321
Adjusted RN Staffing Hours per Resident per Day
0.33441
Adjusted Total Nurse Staffing Hours per Resident per Day
2.23623
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2014-04-17
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
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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