Triple Creek Retirement Community - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
366364
Provider Name
TRIPLE CREEK RETIREMENT COMMUNITY
Provider Address
11230 PIPPIN ROAD
CINCINNATI, OH 45231
CINCINNATI, OH 45231
Provider Phone Number
5138510601
Provider SSA County
310
Provider County Name
Hamilton
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF HAMILTON LLC
Date First Approved to Provide Medicare and Medicaid services
2008-09-15
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.41250
Reported LPN Staffing Hours per Resident per Day
1.07941
Reported RN Staffing Hours per Resident per Day
0.86838
Reported Licensed Staffing Hours per Resident per Day
1.94779
Reported Total Nurse Staffing Hours per Resident per Day
4.36029
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16103
Expected CNA Staffing Hours per Resident per Day
2.46976
Expected LPN Staffing Hours per Resident per Day
0.71458
Expected RN Staffing Hours per Resident per Day
1.26556
Expected Total Nurse Staffing Hours per Resident per Day
4.44991
Adjusted CNA Staffing Hours per Resident per Day
2.39681
Adjusted LPN Staffing Hours per Resident per Day
1.25375
Adjusted RN Staffing Hours per Resident per Day
0.51270
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94972
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
2014-10-23
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
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
99
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
99
Total Weighted Health Survey Score
23.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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