Willow Ridge Of Mennonite Home Communities Of Ohio - Bluffton Nursing Home
General Information
UPDATEFederal Provider Number
366402
Provider Name
WILLOW RIDGE OF MENNONITE HOME COMMUNITIES OF OHIO
Provider Address
101 WILLOW RIDGE DRIVE
BLUFFTON, OH 45817
BLUFFTON, OH 45817
Provider Phone Number
(419) 358-1015
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNONITE MEMORIAL HOME
Date First Approved to Provide Medicare and Medicaid services
2013-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.87750
Reported LPN Staffing Hours per Resident per Day
0.84750
Reported RN Staffing Hours per Resident per Day
0.67750
Reported Licensed Staffing Hours per Resident per Day
1.52500
Reported Total Nurse Staffing Hours per Resident per Day
5.40250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00250
Expected CNA Staffing Hours per Resident per Day
2.57232
Expected LPN Staffing Hours per Resident per Day
0.62232
Expected RN Staffing Hours per Resident per Day
0.96572
Expected Total Nurse Staffing Hours per Resident per Day
4.16035
Adjusted CNA Staffing Hours per Resident per Day
3.69869
Adjusted LPN Staffing Hours per Resident per Day
1.13033
Adjusted RN Staffing Hours per Resident per Day
0.52420
Adjusted Total Nurse Staffing Hours per Resident per Day
5.23440
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
4
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
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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