St Leonard Hcc - Centerville Nursing Home
General Information
UPDATEFederal Provider Number
365714
Provider Name
ST LEONARD HCC
Provider Address
8100 CLYO ROAD
CENTERVILLE, OH 45458
CENTERVILLE, OH 45458
Provider Phone Number
(937) 436-6340
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST LEONARD
Date First Approved to Provide Medicare and Medicaid services
1988-10-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.23333
Reported LPN Staffing Hours per Resident per Day
0.75922
Reported RN Staffing Hours per Resident per Day
0.66064
Reported Licensed Staffing Hours per Resident per Day
1.41986
Reported Total Nurse Staffing Hours per Resident per Day
3.65319
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08121
Expected CNA Staffing Hours per Resident per Day
2.56350
Expected LPN Staffing Hours per Resident per Day
0.73616
Expected RN Staffing Hours per Resident per Day
1.26451
Expected Total Nurse Staffing Hours per Resident per Day
4.56417
Adjusted CNA Staffing Hours per Resident per Day
2.13767
Adjusted LPN Staffing Hours per Resident per Day
0.85600
Adjusted RN Staffing Hours per Resident per Day
0.39037
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22635
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-01-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
95
Cycle 2 Standard Health Survey Date
2012-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
95
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-06-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
37.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
15633
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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