Walnut Hills Nursing Home - Walnut Creek Nursing Home

General Information

UPDATE
Federal Provider Number
366268
Provider Name
WALNUT HILLS NURSING HOME
Provider Address
4748 OLDE PUMP STREET
WALNUT CREEK, OH 44687
Provider Phone Number
(330) 893-3200
Provider SSA County
390
Provider County Name
Holmes
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WALNUT HILLS RETIREMENT COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
2003-03-20
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.89875
Reported LPN Staffing Hours per Resident per Day
0.55875
Reported RN Staffing Hours per Resident per Day
0.76938
Reported Licensed Staffing Hours per Resident per Day
1.32813
Reported Total Nurse Staffing Hours per Resident per Day
4.22688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07063
Expected CNA Staffing Hours per Resident per Day
2.66015
Expected LPN Staffing Hours per Resident per Day
0.69426
Expected RN Staffing Hours per Resident per Day
1.17454
Expected Total Nurse Staffing Hours per Resident per Day
4.52895
Adjusted CNA Staffing Hours per Resident per Day
2.67378
Adjusted LPN Staffing Hours per Resident per Day
0.66800
Adjusted RN Staffing Hours per Resident per Day
0.48945
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76205
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-12-05
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
4290
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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