Walnut Creek Nursing Center - Kettering Nursing Home
General Information
UPDATEFederal Provider Number
365821
Provider Name
WALNUT CREEK NURSING CENTER
Provider Address
5070 LAMME ROAD
KETTERING, OH 45439
KETTERING, OH 45439
Provider Phone Number
(937) 293-7703
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
169
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
APRIL ENTERPRISES INC
Date First Approved to Provide Medicare and Medicaid services
1991-01-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75909
Reported LPN Staffing Hours per Resident per Day
1.15420
Reported RN Staffing Hours per Resident per Day
0.65245
Reported Licensed Staffing Hours per Resident per Day
1.80664
Reported Total Nurse Staffing Hours per Resident per Day
4.56574
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08007
Expected CNA Staffing Hours per Resident per Day
2.53752
Expected LPN Staffing Hours per Resident per Day
0.65834
Expected RN Staffing Hours per Resident per Day
1.08460
Expected Total Nurse Staffing Hours per Resident per Day
4.28046
Adjusted CNA Staffing Hours per Resident per Day
2.66796
Adjusted LPN Staffing Hours per Resident per Day
1.45515
Adjusted RN Staffing Hours per Resident per Day
0.44948
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29955
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-17
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
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
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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