Walnut Grove Health And Rehabilitation Center - Coshocton Nursing Home
General Information
UPDATEFederal Provider Number
365090
Provider Name
WALNUT GROVE HEALTH AND REHABILITATION CENTER
Provider Address
1433 WALNUT STREET
COSHOCTON, OH 43812
COSHOCTON, OH 43812
Provider Phone Number
(740) 623-4127
Provider SSA County
150
Provider County Name
Coshocton
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
61
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.96739
Reported LPN Staffing Hours per Resident per Day
1.01087
Reported RN Staffing Hours per Resident per Day
0.45761
Reported Licensed Staffing Hours per Resident per Day
1.46848
Reported Total Nurse Staffing Hours per Resident per Day
3.43587
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02283
Expected CNA Staffing Hours per Resident per Day
2.32450
Expected LPN Staffing Hours per Resident per Day
0.63397
Expected RN Staffing Hours per Resident per Day
1.11631
Expected Total Nurse Staffing Hours per Resident per Day
4.07478
Adjusted CNA Staffing Hours per Resident per Day
2.07674
Adjusted LPN Staffing Hours per Resident per Day
1.32343
Adjusted RN Staffing Hours per Resident per Day
0.30630
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39887
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-13
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
28
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2011-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
33.33300
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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