St Marys Living Center - St Marys Nursing Home
General Information
UPDATEFederal Provider Number
365809
Provider Name
ST MARYS LIVING CENTER
Provider Address
1209 INDIANA AVENUE
ST MARYS, OH 45885
ST MARYS, OH 45885
Provider Phone Number
(419) 394-7611
Provider SSA County
50
Provider County Name
Auglaize
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1990-10-05
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
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
2.51585
Reported LPN Staffing Hours per Resident per Day
0.79146
Reported RN Staffing Hours per Resident per Day
0.94634
Reported Licensed Staffing Hours per Resident per Day
1.73780
Reported Total Nurse Staffing Hours per Resident per Day
4.25365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01585
Expected CNA Staffing Hours per Resident per Day
2.30745
Expected LPN Staffing Hours per Resident per Day
0.63003
Expected RN Staffing Hours per Resident per Day
1.23034
Expected Total Nurse Staffing Hours per Resident per Day
4.16782
Adjusted CNA Staffing Hours per Resident per Day
2.67531
Adjusted LPN Staffing Hours per Resident per Day
1.04266
Adjusted RN Staffing Hours per Resident per Day
0.57472
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11391
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-14
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
21.33300
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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Nursiong Homes Nearby
Vancrest Of St Mary's
1140 Knoxville Road |
ST MARYS OH 45885 | 2 miles away
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11230 State Route 364 |
ST MARYS OH 45885 | 2.7 miles away