Smithville Western Care Center - Wooster Nursing Home
General Information
UPDATEFederal Provider Number
365317
Provider Name
SMITHVILLE WESTERN CARE CENTER
Provider Address
4110 EAST SMITHVILLE WESTERN ROAD
WOOSTER, OH 44691
WOOSTER, OH 44691
Provider Phone Number
(330) 345-9050
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SMITHVILLE WESTERN INC.
Date First Approved to Provide Medicare and Medicaid services
1975-04-09
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33810
Reported LPN Staffing Hours per Resident per Day
1.04095
Reported RN Staffing Hours per Resident per Day
0.88524
Reported Licensed Staffing Hours per Resident per Day
1.92619
Reported Total Nurse Staffing Hours per Resident per Day
4.26429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07429
Expected CNA Staffing Hours per Resident per Day
2.42571
Expected LPN Staffing Hours per Resident per Day
0.66960
Expected RN Staffing Hours per Resident per Day
1.22434
Expected Total Nurse Staffing Hours per Resident per Day
4.31965
Adjusted CNA Staffing Hours per Resident per Day
2.36508
Adjusted LPN Staffing Hours per Resident per Day
1.29031
Adjusted RN Staffing Hours per Resident per Day
0.54025
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97924
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-12
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
0
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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