Springfield Nursing & Independent Living - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
366099
Provider Name
SPRINGFIELD NURSING & INDEPENDENT LIVING
Provider Address
404 E MCCREIGHT AVE
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
Provider Phone Number
(937) 399-8311
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRINGFIELD HEALTHCARE GROUP INC
Date First Approved to Provide Medicare and Medicaid services
1996-12-06
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
2.13516
Reported LPN Staffing Hours per Resident per Day
0.72109
Reported RN Staffing Hours per Resident per Day
0.69766
Reported Licensed Staffing Hours per Resident per Day
1.41875
Reported Total Nurse Staffing Hours per Resident per Day
3.55391
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01563
Expected CNA Staffing Hours per Resident per Day
2.05454
Expected LPN Staffing Hours per Resident per Day
0.64273
Expected RN Staffing Hours per Resident per Day
1.28063
Expected Total Nurse Staffing Hours per Resident per Day
3.97790
Adjusted CNA Staffing Hours per Resident per Day
2.54999
Adjusted LPN Staffing Hours per Resident per Day
0.93119
Adjusted RN Staffing Hours per Resident per Day
0.40706
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60126
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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