Villa Georgetown Skilled Nursing & Rehab Center - Georgetown Nursing Home
General Information
UPDATEFederal Provider Number
365786
Provider Name
VILLA GEORGETOWN SKILLED NURSING & REHAB CENTER
Provider Address
8065 DR FAUL ROAD
GEORGETOWN, OH 45121
GEORGETOWN, OH 45121
Provider Phone Number
(937) 378-4178
Provider SSA County
70
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE OHIO, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-04-06
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.28750
Reported LPN Staffing Hours per Resident per Day
0.76190
Reported RN Staffing Hours per Resident per Day
0.86905
Reported Licensed Staffing Hours per Resident per Day
1.63095
Reported Total Nurse Staffing Hours per Resident per Day
3.91845
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05119
Expected CNA Staffing Hours per Resident per Day
2.58470
Expected LPN Staffing Hours per Resident per Day
0.79988
Expected RN Staffing Hours per Resident per Day
1.20864
Expected Total Nurse Staffing Hours per Resident per Day
4.59322
Adjusted CNA Staffing Hours per Resident per Day
2.17156
Adjusted LPN Staffing Hours per Resident per Day
0.79059
Adjusted RN Staffing Hours per Resident per Day
0.53726
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43874
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-05-23
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
13.33300
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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