Signature Healthcare Of Galion - Galion Nursing Home

General Information

UPDATE
Federal Provider Number
365351
Provider Name
SIGNATURE HEALTHCARE OF GALION
Provider Address
935 ROSEWOOD DR
GALION, OH 44833
Provider Phone Number
(419) 468-7544
Provider SSA County
160
Provider County Name
Crawford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP GALION LLC
Date First Approved to Provide Medicare and Medicaid services
1978-05-30
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.30686
Reported LPN Staffing Hours per Resident per Day
0.78824
Reported RN Staffing Hours per Resident per Day
0.74804
Reported Licensed Staffing Hours per Resident per Day
1.53627
Reported Total Nurse Staffing Hours per Resident per Day
3.84314
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01373
Expected CNA Staffing Hours per Resident per Day
2.65752
Expected LPN Staffing Hours per Resident per Day
0.73853
Expected RN Staffing Hours per Resident per Day
1.15745
Expected Total Nurse Staffing Hours per Resident per Day
4.55350
Adjusted CNA Staffing Hours per Resident per Day
2.12994
Adjusted LPN Staffing Hours per Resident per Day
0.88587
Adjusted RN Staffing Hours per Resident per Day
0.48290
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40206
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-07-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.66700
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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