Ohio Nursing Homes >> Holland Nursing Homes >> Spring Meadows Extended Care F

Spring Meadows Extended Care F - Holland Nursing Home

General Information

UPDATE
Federal Provider Number
366042
Provider Name
SPRING MEADOWS EXTENDED CARE F
Provider Address
1125 CLARION AVE
HOLLAND, OH 43528
Provider Phone Number
4198666124
Provider SSA County
490
Provider County Name
Lucas
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING MEADOWS EXTENDED CARE FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-12-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.61136
Reported LPN Staffing Hours per Resident per Day
0.65511
Reported RN Staffing Hours per Resident per Day
0.93409
Reported Licensed Staffing Hours per Resident per Day
1.58920
Reported Total Nurse Staffing Hours per Resident per Day
4.20056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06420
Expected CNA Staffing Hours per Resident per Day
2.53988
Expected LPN Staffing Hours per Resident per Day
0.71603
Expected RN Staffing Hours per Resident per Day
1.19807
Expected Total Nurse Staffing Hours per Resident per Day
4.45399
Adjusted CNA Staffing Hours per Resident per Day
2.52275
Adjusted LPN Staffing Hours per Resident per Day
0.75938
Adjusted RN Staffing Hours per Resident per Day
0.58256
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80155
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-02
Cycle 2 Number of Health Revisits
1
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
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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