Sycamore Glen Health Center - Miamisburg Nursing Home
General Information
UPDATEFederal Provider Number
366000
Provider Name
SYCAMORE GLEN HEALTH CENTER
Provider Address
2175 LEITER ROAD
MIAMISBURG, OH 45342
MIAMISBURG, OH 45342
Provider Phone Number
9373844308
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
Non profit - Church related
Number of Certified Beds
100
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KETTERING AFFILIATED HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1995-03-09
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.39176
Reported LPN Staffing Hours per Resident per Day
1.08956
Reported RN Staffing Hours per Resident per Day
0.73846
Reported Licensed Staffing Hours per Resident per Day
1.82802
Reported Total Nurse Staffing Hours per Resident per Day
4.21978
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05549
Expected CNA Staffing Hours per Resident per Day
2.49878
Expected LPN Staffing Hours per Resident per Day
0.76127
Expected RN Staffing Hours per Resident per Day
1.31690
Expected Total Nurse Staffing Hours per Resident per Day
4.57695
Adjusted CNA Staffing Hours per Resident per Day
2.34861
Adjusted LPN Staffing Hours per Resident per Day
1.18794
Adjusted RN Staffing Hours per Resident per Day
0.41900
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71634
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
2014-04-10
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
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-24
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
44
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
14.00000
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
Nursiong Homes Nearby
Heartland Of Miamisburg
450 Oak Ridge Boulevard |
MIAMISBURG OH 45342 | 0.4 mile away
Laurels Of West Carrollton The
115 Elmwood Circle |
WEST CARROLLTON OH 45449 | 0.9 mile away
Wood Glen Alzheimer's Community
3800 Summit Glen Drive |
DAYTON OH 45449 | 0.9 mile away
Kingston Of Miamisburg
1120 South Dunaway Street |
MIAMISBURG OH 45342 | 1.3 miles away
Walnut Creek Nursing Center
5070 Lamme Road |
KETTERING OH 45439 | 3.3 miles away
Liberty Retirement Community
7300 Mcewen Road |
DAYTON OH 45459 | 3.3 miles away
Pinnacle Pointe Nursing & Rehabilitation Center
3421 Pinnacle Road |
DAYTON OH 45418 | 4.1 miles away
Bethany Village
6451 Far Hills Avenue |
DAYTON OH 45459 | 4.7 miles away
Avalon By Otterbein Clearcreek
9320 Avalon Circle |
CENTERVILLE OH 45458 | 5.5 miles away
Oaks Of West Kettering The
1150 West Dorothy Lane |
KETTERING OH 45409 | 5.5 miles away
Heartland Of Centerville
1001 Alex Bell Road |
CENTERVILLE OH 45459 | 5.8 miles away
St Leonard Hcc
8100 Clyo Road |
CENTERVILLE OH 45458 | 5.9 miles away
Lincoln Park Manor
694 Isaac Prugh Way |
KETTERING OH 45429 | 6.2 miles away
Oak Creek Terrace Inc
2316 Springmill Road |
KETTERING OH 45440 | 6.8 miles away
Heartland Of Kettering
3313 Wilmington Pike |
KETTERING OH 45429 | 6.9 miles away
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