Utica Care Center - Utica Nursing Home
General Information
UPDATEFederal Provider Number
366160
Provider Name
UTICA CARE CENTER
Provider Address
233 N MAIN STREET
UTICA, OH 43080
UTICA, OH 43080
Provider Phone Number
7408923414
Provider SSA County
460
Provider County Name
Licking
Ownership Type
For profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIVING CARE ALTERNATIVES OF UTICA INC
Date First Approved to Provide Medicare and Medicaid services
1998-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
3
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
2.70500
Reported LPN Staffing Hours per Resident per Day
0.36667
Reported RN Staffing Hours per Resident per Day
0.93167
Reported Licensed Staffing Hours per Resident per Day
1.29833
Reported Total Nurse Staffing Hours per Resident per Day
4.00334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47467
Expected LPN Staffing Hours per Resident per Day
0.79989
Expected RN Staffing Hours per Resident per Day
1.38426
Expected Total Nurse Staffing Hours per Resident per Day
4.65882
Adjusted CNA Staffing Hours per Resident per Day
2.68207
Adjusted LPN Staffing Hours per Resident per Day
0.38047
Adjusted RN Staffing Hours per Resident per Day
0.50290
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46377
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
83
Cycle 1 Standard Survey Health Date
2014-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
83
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-14
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
24
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
215
Cycle 3 Standard Health Survey Date
2011-11-29
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
151
Cycle 3 Total Health Score
366
Total Weighted Health Survey Score
111.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
15633
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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