Villa Angela Care Center - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
365379
Provider Name
VILLA ANGELA CARE CENTER
Provider Address
5700 KARL ROAD
COLUMBUS, OH 43229
COLUMBUS, OH 43229
Provider Phone Number
(614) 846-5420
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
225
Number of Residents in Certified Beds
194
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KARL HC, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-24
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
2
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
2.11289
Reported LPN Staffing Hours per Resident per Day
0.96830
Reported RN Staffing Hours per Resident per Day
0.60799
Reported Licensed Staffing Hours per Resident per Day
1.57629
Reported Total Nurse Staffing Hours per Resident per Day
3.68918
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03093
Expected CNA Staffing Hours per Resident per Day
2.35670
Expected LPN Staffing Hours per Resident per Day
0.79875
Expected RN Staffing Hours per Resident per Day
1.32541
Expected Total Nurse Staffing Hours per Resident per Day
4.48086
Adjusted CNA Staffing Hours per Resident per Day
2.19985
Adjusted LPN Staffing Hours per Resident per Day
1.00618
Adjusted RN Staffing Hours per Resident per Day
0.34276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31872
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
40
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
58
Cycle 3 Total Health Score
174
Total Weighted Health Survey Score
79.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
3
Total Amount of Fines in Dollars
62946
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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