Vancrest Of Urbana, Inc - Urbana Nursing Home

General Information

UPDATE
Federal Provider Number
365437
Provider Name
VANCREST OF URBANA, INC
Provider Address
2380 ST RT 68 S
URBANA, OH 43078
Provider Phone Number
(937) 653-5291
Provider SSA County
100
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VANCREST OF URBANA, INC
Date First Approved to Provide Medicare and Medicaid services
1980-02-22
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
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94638
Reported LPN Staffing Hours per Resident per Day
1.22464
Reported RN Staffing Hours per Resident per Day
0.58768
Reported Licensed Staffing Hours per Resident per Day
1.81232
Reported Total Nurse Staffing Hours per Resident per Day
3.75870
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01449
Expected CNA Staffing Hours per Resident per Day
2.57110
Expected LPN Staffing Hours per Resident per Day
0.74143
Expected RN Staffing Hours per Resident per Day
1.19754
Expected Total Nurse Staffing Hours per Resident per Day
4.51006
Adjusted CNA Staffing Hours per Resident per Day
1.85751
Adjusted LPN Staffing Hours per Resident per Day
1.37093
Adjusted RN Staffing Hours per Resident per Day
0.36668
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35936
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
2014-05-29
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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