Wexner Heritage House - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
365026
Provider Name
WEXNER HERITAGE HOUSE
Provider Address
1151 COLLEGE AVENUE
COLUMBUS, OH 43209
COLUMBUS, OH 43209
Provider Phone Number
6142314900
Provider SSA County
250
Provider County Name
Franklin
Ownership Type
Non profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEXNER HERITAGE VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.02630
Reported LPN Staffing Hours per Resident per Day
0.91222
Reported RN Staffing Hours per Resident per Day
1.40926
Reported Licensed Staffing Hours per Resident per Day
2.32148
Reported Total Nurse Staffing Hours per Resident per Day
5.34778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29630
Expected CNA Staffing Hours per Resident per Day
2.43003
Expected LPN Staffing Hours per Resident per Day
0.62957
Expected RN Staffing Hours per Resident per Day
1.07461
Expected Total Nurse Staffing Hours per Resident per Day
4.13421
Adjusted CNA Staffing Hours per Resident per Day
3.05578
Adjusted LPN Staffing Hours per Resident per Day
1.20264
Adjusted RN Staffing Hours per Resident per Day
0.97989
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21415
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
24
Cycle 1 Standard Survey Health Date
2014-12-04
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
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-12
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
17
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
10335
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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