Southbrook Care Center - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
365424
Provider Name
SOUTHBROOK CARE CENTER
Provider Address
2299 S YELLOW SPRINGS STREET
SPRINGFIELD, OH 45506
SPRINGFIELD, OH 45506
Provider Phone Number
(937) 322-3436
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHBROOK HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-10-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.64853
Reported LPN Staffing Hours per Resident per Day
1.21176
Reported RN Staffing Hours per Resident per Day
1.53456
Reported Licensed Staffing Hours per Resident per Day
2.74632
Reported Total Nurse Staffing Hours per Resident per Day
6.39485
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.59602
Expected LPN Staffing Hours per Resident per Day
0.74509
Expected RN Staffing Hours per Resident per Day
1.29444
Expected Total Nurse Staffing Hours per Resident per Day
4.63555
Adjusted CNA Staffing Hours per Resident per Day
3.44851
Adjusted LPN Staffing Hours per Resident per Day
1.34986
Adjusted RN Staffing Hours per Resident per Day
0.88581
Adjusted Total Nurse Staffing Hours per Resident per Day
5.56073
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
2015-04-16
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-06
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
7.33300
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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