Wood Haven Health Care Senior Living & Rehab - Bowling Green Nursing Home
General Information
UPDATEFederal Provider Number
365458
Provider Name
WOOD HAVEN HEALTH CARE SENIOR LIVING & REHAB
Provider Address
1965 E GYPSY LANE RD
BOWLING GREEN, OH 43402
BOWLING GREEN, OH 43402
Provider Phone Number
(419) 353-8411
Provider SSA County
880
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
95
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOOD COUNTY AUDITOR
Date First Approved to Provide Medicare and Medicaid services
1980-04-07
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
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03974
Reported LPN Staffing Hours per Resident per Day
1.13013
Reported RN Staffing Hours per Resident per Day
0.55513
Reported Licensed Staffing Hours per Resident per Day
1.68526
Reported Total Nurse Staffing Hours per Resident per Day
3.72500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06859
Expected CNA Staffing Hours per Resident per Day
2.48820
Expected LPN Staffing Hours per Resident per Day
0.65860
Expected RN Staffing Hours per Resident per Day
1.16301
Expected Total Nurse Staffing Hours per Resident per Day
4.30981
Adjusted CNA Staffing Hours per Resident per Day
2.01146
Adjusted LPN Staffing Hours per Resident per Day
1.42425
Adjusted RN Staffing Hours per Resident per Day
0.35665
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48393
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
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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