Willow Haven Care Center - Zanesville Nursing Home
General Information
UPDATEFederal Provider Number
366244
Provider Name
WILLOW HAVEN CARE CENTER
Provider Address
1122 TAYLOR STREET
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
Provider Phone Number
(740) 454-9747
Provider SSA County
610
Provider County Name
Muskingum
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZANDEX HEALTH CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2002-06-27
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.32784
Reported LPN Staffing Hours per Resident per Day
1.04773
Reported RN Staffing Hours per Resident per Day
0.70511
Reported Licensed Staffing Hours per Resident per Day
1.75284
Reported Total Nurse Staffing Hours per Resident per Day
4.08068
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03011
Expected CNA Staffing Hours per Resident per Day
2.39492
Expected LPN Staffing Hours per Resident per Day
0.67213
Expected RN Staffing Hours per Resident per Day
1.20311
Expected Total Nurse Staffing Hours per Resident per Day
4.27016
Adjusted CNA Staffing Hours per Resident per Day
2.38497
Adjusted LPN Staffing Hours per Resident per Day
1.29382
Adjusted RN Staffing Hours per Resident per Day
0.43791
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85204
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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