Wooster Community Hospital Snf - Wooster Nursing Home
General Information
UPDATEFederal Provider Number
366405
Provider Name
WOOSTER COMMUNITY HOSPITAL SNF
Provider Address
1761 BEALL AVENUE
WOOSTER, OH 44691
WOOSTER, OH 44691
Provider Phone Number
(330) 263-8100
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
22
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CITY OF WOOSTER
Date First Approved to Provide Medicare and Medicaid services
2013-03-29
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
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
3.27250
Reported LPN Staffing Hours per Resident per Day
1.25250
Reported RN Staffing Hours per Resident per Day
2.60750
Reported Licensed Staffing Hours per Resident per Day
3.86000
Reported Total Nurse Staffing Hours per Resident per Day
7.13250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28000
Expected CNA Staffing Hours per Resident per Day
2.49476
Expected LPN Staffing Hours per Resident per Day
0.87071
Expected RN Staffing Hours per Resident per Day
1.87435
Expected Total Nurse Staffing Hours per Resident per Day
5.23981
Adjusted CNA Staffing Hours per Resident per Day
3.21864
Adjusted LPN Staffing Hours per Resident per Day
1.19395
Adjusted RN Staffing Hours per Resident per Day
1.03947
Adjusted Total Nurse Staffing Hours per Resident per Day
5.48691
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-03-26
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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