Village At Westerville Nrsg Ctr The - Westerville Nursing Home
General Information
UPDATEFederal Provider Number
365611
Provider Name
VILLAGE AT WESTERVILLE NRSG CTR THE
Provider Address
1060 EASTWIND DRIVE
WESTERVILLE, OH 43081
WESTERVILLE, OH 43081
Provider Phone Number
(614) 895-1038
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND VILLAGE OF WESTERVILLE OH (NC) LLC
Date First Approved to Provide Medicare and Medicaid services
1983-12-30
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
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.01162
Reported LPN Staffing Hours per Resident per Day
2.00051
Reported RN Staffing Hours per Resident per Day
0.31263
Reported Licensed Staffing Hours per Resident per Day
2.31313
Reported Total Nurse Staffing Hours per Resident per Day
2.32476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27626
Expected CNA Staffing Hours per Resident per Day
2.48764
Expected LPN Staffing Hours per Resident per Day
0.71176
Expected RN Staffing Hours per Resident per Day
1.30107
Expected Total Nurse Staffing Hours per Resident per Day
4.50047
Adjusted CNA Staffing Hours per Resident per Day
0.01146
Adjusted LPN Staffing Hours per Resident per Day
2.33285
Adjusted RN Staffing Hours per Resident per Day
0.17954
Adjusted Total Nurse Staffing Hours per Resident per Day
2.08220
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
251
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
251
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
159
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
159
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
180.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
Number of Fines
2
Total Amount of Fines in Dollars
104975
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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