Vancrest Of Convoy - Convoy Nursing Home
General Information
UPDATEFederal Provider Number
366066
Provider Name
VANCREST OF CONVOY
Provider Address
510 TULLY STREET
CONVOY, OH 45832
CONVOY, OH 45832
Provider Phone Number
(419) 749-2194
Provider SSA County
820
Provider County Name
Van Wert
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
46
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-06-05
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
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
2.59800
Reported LPN Staffing Hours per Resident per Day
0.54400
Reported RN Staffing Hours per Resident per Day
0.90000
Reported Licensed Staffing Hours per Resident per Day
1.44400
Reported Total Nurse Staffing Hours per Resident per Day
4.04200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17200
Expected CNA Staffing Hours per Resident per Day
2.34094
Expected LPN Staffing Hours per Resident per Day
0.76891
Expected RN Staffing Hours per Resident per Day
1.37067
Expected Total Nurse Staffing Hours per Resident per Day
4.48053
Adjusted CNA Staffing Hours per Resident per Day
2.72314
Adjusted LPN Staffing Hours per Resident per Day
0.58722
Adjusted RN Staffing Hours per Resident per Day
0.49062
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63638
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
2014-07-17
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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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Nursiong Homes Nearby
Vancrest Health Care Center
10357 Van Wert Decatur Road |
VAN WERT OH 45891 | 5.8 miles away
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VAN WERT OH 45891 | 7.5 miles away