Vancrest Of Delphos - Delphos Nursing Home

General Information

UPDATE
Federal Provider Number
366189
Provider Name
VANCREST OF DELPHOS
Provider Address
1425 EAST FIFTH STREET
DELPHOS, OH 45833
Provider Phone Number
(419) 695-2871
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VANCREST, LTD
Date First Approved to Provide Medicare and Medicaid services
2000-02-04
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51343
Reported LPN Staffing Hours per Resident per Day
0.78704
Reported RN Staffing Hours per Resident per Day
0.68287
Reported Licensed Staffing Hours per Resident per Day
1.46991
Reported Total Nurse Staffing Hours per Resident per Day
3.98334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05278
Expected CNA Staffing Hours per Resident per Day
2.50235
Expected LPN Staffing Hours per Resident per Day
0.73210
Expected RN Staffing Hours per Resident per Day
1.24573
Expected Total Nurse Staffing Hours per Resident per Day
4.48018
Adjusted CNA Staffing Hours per Resident per Day
2.46456
Adjusted LPN Staffing Hours per Resident per Day
0.89229
Adjusted RN Staffing Hours per Resident per Day
0.40959
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58388
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
2015-02-12
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
2013-11-21
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
8
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
4.00000
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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