Winchester Terrace - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
365911
Provider Name
WINCHESTER TERRACE
Provider Address
70 WINCHESTER RD
MANSFIELD, OH 44907
MANSFIELD, OH 44907
Provider Phone Number
(419) 756-4747
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEVERING MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-03-19
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.40724
Reported LPN Staffing Hours per Resident per Day
0.90263
Reported RN Staffing Hours per Resident per Day
0.88224
Reported Licensed Staffing Hours per Resident per Day
1.78487
Reported Total Nurse Staffing Hours per Resident per Day
4.19211
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01908
Expected CNA Staffing Hours per Resident per Day
2.64588
Expected LPN Staffing Hours per Resident per Day
0.75352
Expected RN Staffing Hours per Resident per Day
1.23253
Expected Total Nurse Staffing Hours per Resident per Day
4.63192
Adjusted CNA Staffing Hours per Resident per Day
2.23240
Adjusted LPN Staffing Hours per Resident per Day
0.99425
Adjusted RN Staffing Hours per Resident per Day
0.53484
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64816
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
139
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
139
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
80.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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