Vancrest Health Care Ctr Of Ho - Holgate Nursing Home

General Information

UPDATE
Federal Provider Number
366255
Provider Name
VANCREST HEALTH CARE CTR OF HO
Provider Address
600 JOE E BROWN ROAD
HOLGATE, OH 43527
Provider Phone Number
4192640700
Provider SSA County
360
Provider County Name
Henry
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLGATE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-12-20
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.07813
Reported LPN Staffing Hours per Resident per Day
0.68333
Reported RN Staffing Hours per Resident per Day
0.90729
Reported Licensed Staffing Hours per Resident per Day
1.59063
Reported Total Nurse Staffing Hours per Resident per Day
3.66875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15521
Expected CNA Staffing Hours per Resident per Day
2.44363
Expected LPN Staffing Hours per Resident per Day
0.68136
Expected RN Staffing Hours per Resident per Day
1.24390
Expected Total Nurse Staffing Hours per Resident per Day
4.36889
Adjusted CNA Staffing Hours per Resident per Day
2.08670
Adjusted LPN Staffing Hours per Resident per Day
0.83240
Adjusted RN Staffing Hours per Resident per Day
0.54500
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38493
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-10
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-09-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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