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Wapakoneta Manor - Wapakoneta Nursing Home

General Information

UPDATE
Federal Provider Number
365238
Provider Name
WAPAKONETA MANOR
Provider Address
1010 LINCOLN AVE
WAPAKONETA, OH 45895
Provider Phone Number
(419) 738-3711
Provider SSA County
50
Provider County Name
Auglaize
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF WAPAKONETA, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-02-18
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11944
Reported LPN Staffing Hours per Resident per Day
0.63667
Reported RN Staffing Hours per Resident per Day
0.90778
Reported Licensed Staffing Hours per Resident per Day
1.54444
Reported Total Nurse Staffing Hours per Resident per Day
3.66389
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03278
Expected CNA Staffing Hours per Resident per Day
2.49217
Expected LPN Staffing Hours per Resident per Day
0.75568
Expected RN Staffing Hours per Resident per Day
1.22371
Expected Total Nurse Staffing Hours per Resident per Day
4.47157
Adjusted CNA Staffing Hours per Resident per Day
2.08672
Adjusted LPN Staffing Hours per Resident per Day
0.69928
Adjusted RN Staffing Hours per Resident per Day
0.55429
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30282
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
24
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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