Sunrise Manor And Convalescent Center, Inc - Amelia Nursing Home
General Information
UPDATEFederal Provider Number
366288
Provider Name
SUNRISE MANOR AND CONVALESCENT CENTER, INC
Provider Address
3434 STATE ROUTE 132
AMELIA, OH 45102
AMELIA, OH 45102
Provider Phone Number
(513) 797-5144
Provider SSA County
120
Provider County Name
Clermont
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNRISE MANOR & CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2004-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32959
Reported LPN Staffing Hours per Resident per Day
0.84796
Reported RN Staffing Hours per Resident per Day
0.92041
Reported Licensed Staffing Hours per Resident per Day
1.76837
Reported Total Nurse Staffing Hours per Resident per Day
4.09796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04082
Expected CNA Staffing Hours per Resident per Day
2.67154
Expected LPN Staffing Hours per Resident per Day
0.59960
Expected RN Staffing Hours per Resident per Day
0.75527
Expected Total Nurse Staffing Hours per Resident per Day
4.02640
Adjusted CNA Staffing Hours per Resident per Day
2.13964
Adjusted LPN Staffing Hours per Resident per Day
1.17380
Adjusted RN Staffing Hours per Resident per Day
0.91058
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10254
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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