St Francis Home Inc - Tiffin Nursing Home
General Information
UPDATEFederal Provider Number
366102
Provider Name
ST FRANCIS HOME INC
Provider Address
182 ST FRANCIS AVE
TIFFIN, OH 44883
TIFFIN, OH 44883
Provider Phone Number
(419) 447-2723
Provider SSA County
750
Provider County Name
Seneca
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST FRANCIS HOME INC
Date First Approved to Provide Medicare and Medicaid services
1997-01-06
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.60796
Reported LPN Staffing Hours per Resident per Day
1.20442
Reported RN Staffing Hours per Resident per Day
0.52035
Reported Licensed Staffing Hours per Resident per Day
1.72478
Reported Total Nurse Staffing Hours per Resident per Day
4.33273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01283
Expected CNA Staffing Hours per Resident per Day
2.39170
Expected LPN Staffing Hours per Resident per Day
0.63488
Expected RN Staffing Hours per Resident per Day
1.02528
Expected Total Nurse Staffing Hours per Resident per Day
4.05187
Adjusted CNA Staffing Hours per Resident per Day
2.67557
Adjusted LPN Staffing Hours per Resident per Day
1.57457
Adjusted RN Staffing Hours per Resident per Day
0.37922
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31031
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
2014-02-13
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-11-01
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
16.66700
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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