Sycamore Run Nursing And Rehab Ctr - Millersburg Nursing Home
General Information
UPDATEFederal Provider Number
366024
Provider Name
SYCAMORE RUN NURSING AND REHAB CTR
Provider Address
6180 STATE ROUTE 83 N
MILLERSBURG, OH 44654
MILLERSBURG, OH 44654
Provider Phone Number
(330) 674-0015
Provider SSA County
390
Provider County Name
Holmes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CASTLE NURSING HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-10-18
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
3
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
1.89380
Reported LPN Staffing Hours per Resident per Day
0.83967
Reported RN Staffing Hours per Resident per Day
0.62645
Reported Licensed Staffing Hours per Resident per Day
1.46612
Reported Total Nurse Staffing Hours per Resident per Day
3.35992
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00702
Expected CNA Staffing Hours per Resident per Day
2.38311
Expected LPN Staffing Hours per Resident per Day
0.71142
Expected RN Staffing Hours per Resident per Day
1.25988
Expected Total Nurse Staffing Hours per Resident per Day
4.35442
Adjusted CNA Staffing Hours per Resident per Day
1.94989
Adjusted LPN Staffing Hours per Resident per Day
0.97962
Adjusted RN Staffing Hours per Resident per Day
0.37153
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11029
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-08
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
18.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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