Western Hills Retirement Village - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
365693
Provider Name
WESTERN HILLS RETIREMENT VILLAGE
Provider Address
6210 CLEVES WARSAW PIKE
CINCINNATI, OH 45233
CINCINNATI, OH 45233
Provider Phone Number
5139410099
Provider SSA County
310
Provider County Name
Hamilton
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EBENEZER ROAD CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1987-04-24
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.63704
Reported LPN Staffing Hours per Resident per Day
0.81667
Reported RN Staffing Hours per Resident per Day
0.85185
Reported Licensed Staffing Hours per Resident per Day
1.66852
Reported Total Nurse Staffing Hours per Resident per Day
4.30556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02639
Expected CNA Staffing Hours per Resident per Day
2.51705
Expected LPN Staffing Hours per Resident per Day
0.68556
Expected RN Staffing Hours per Resident per Day
1.21061
Expected Total Nurse Staffing Hours per Resident per Day
4.41322
Adjusted CNA Staffing Hours per Resident per Day
2.57067
Adjusted LPN Staffing Hours per Resident per Day
0.98873
Adjusted RN Staffing Hours per Resident per Day
0.52577
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93256
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
2014-02-13
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-07-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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