Village Green Health Campus - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
365505
Provider Name
VILLAGE GREEN HEALTH CAMPUS
Provider Address
1315 KITCHEN AID WAY
GREENVILLE, OH 45331
GREENVILLE, OH 45331
Provider Phone Number
(937) 548-1993
Provider SSA County
190
Provider County Name
Darke
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF GREENVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-03-20
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
2
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.76143
Reported LPN Staffing Hours per Resident per Day
0.59286
Reported RN Staffing Hours per Resident per Day
0.56286
Reported Licensed Staffing Hours per Resident per Day
1.15571
Reported Total Nurse Staffing Hours per Resident per Day
2.91715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02286
Expected CNA Staffing Hours per Resident per Day
2.48546
Expected LPN Staffing Hours per Resident per Day
0.73480
Expected RN Staffing Hours per Resident per Day
1.15887
Expected Total Nurse Staffing Hours per Resident per Day
4.37912
Adjusted CNA Staffing Hours per Resident per Day
1.73892
Adjusted LPN Staffing Hours per Resident per Day
0.66967
Adjusted RN Staffing Hours per Resident per Day
0.36291
Adjusted Total Nurse Staffing Hours per Resident per Day
2.68518
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
8
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
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
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
15.33300
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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