Steubenville Country Club Manor - Steubenville Nursing Home
General Information
UPDATEFederal Provider Number
366241
Provider Name
STEUBENVILLE COUNTRY CLUB MANOR
Provider Address
575 LOVERS LANE
STEUBENVILLE, OH 43953
STEUBENVILLE, OH 43953
Provider Phone Number
(740) 266-6118
Provider SSA County
420
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STEUBENVILLE COUNTRY CLUB MANOR
Date First Approved to Provide Medicare and Medicaid services
2002-05-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35385
Reported LPN Staffing Hours per Resident per Day
0.51058
Reported RN Staffing Hours per Resident per Day
0.56827
Reported Licensed Staffing Hours per Resident per Day
1.07885
Reported Total Nurse Staffing Hours per Resident per Day
3.43270
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01635
Expected CNA Staffing Hours per Resident per Day
2.68299
Expected LPN Staffing Hours per Resident per Day
0.69377
Expected RN Staffing Hours per Resident per Day
1.18182
Expected Total Nurse Staffing Hours per Resident per Day
4.55858
Adjusted CNA Staffing Hours per Resident per Day
2.15269
Adjusted LPN Staffing Hours per Resident per Day
0.61084
Adjusted RN Staffing Hours per Resident per Day
0.35929
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03535
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-09-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
74.00000
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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