Villa Springfield - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
365829
Provider Name
VILLA SPRINGFIELD
Provider Address
701 VILLA ROAD
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
Provider Phone Number
(937) 399-5551
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
87
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
1991-02-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.71207
Reported LPN Staffing Hours per Resident per Day
1.35632
Reported RN Staffing Hours per Resident per Day
1.21897
Reported Licensed Staffing Hours per Resident per Day
2.57529
Reported Total Nurse Staffing Hours per Resident per Day
5.28736
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09655
Expected CNA Staffing Hours per Resident per Day
2.62415
Expected LPN Staffing Hours per Resident per Day
0.73929
Expected RN Staffing Hours per Resident per Day
1.31792
Expected Total Nurse Staffing Hours per Resident per Day
4.68136
Adjusted CNA Staffing Hours per Resident per Day
2.53591
Adjusted LPN Staffing Hours per Resident per Day
1.52274
Adjusted RN Staffing Hours per Resident per Day
0.69110
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55269
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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