Signature Healthcare Of Coshocton - Coshocton Nursing Home
General Information
UPDATEFederal Provider Number
365880
Provider Name
SIGNATURE HEALTHCARE OF COSHOCTON
Provider Address
100 SOUTH WHITEWOMAN STREET
COSHOCTON, OH 43812
COSHOCTON, OH 43812
Provider Phone Number
(740) 622-1220
Provider SSA County
150
Provider County Name
Coshocton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP COSHOCTON LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.13154
Reported LPN Staffing Hours per Resident per Day
0.73846
Reported RN Staffing Hours per Resident per Day
0.72077
Reported Licensed Staffing Hours per Resident per Day
1.45923
Reported Total Nurse Staffing Hours per Resident per Day
3.59077
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06615
Expected CNA Staffing Hours per Resident per Day
2.42957
Expected LPN Staffing Hours per Resident per Day
0.68146
Expected RN Staffing Hours per Resident per Day
1.22473
Expected Total Nurse Staffing Hours per Resident per Day
4.33576
Adjusted CNA Staffing Hours per Resident per Day
2.15271
Adjusted LPN Staffing Hours per Resident per Day
0.89943
Adjusted RN Staffing Hours per Resident per Day
0.43974
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33829
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
167
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
167
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
112.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
24278
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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