Wyandot County Skilled Nursing And Rehabilitation - Upper Sandusky Nursing Home
General Information
UPDATEFederal Provider Number
366269
Provider Name
WYANDOT COUNTY SKILLED NURSING AND REHABILITATION
Provider Address
7830 N ST HWY 199 RR2
UPPER SANDUSKY, OH 43351
UPPER SANDUSKY, OH 43351
Provider Phone Number
(419) 294-1714
Provider SSA County
890
Provider County Name
Wyandot
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
90
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WYANDOT COUNTY OFFICE OF AUDITOR COURTHOUSE
Date First Approved to Provide Medicare and Medicaid services
2003-04-29
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
2.01824
Reported LPN Staffing Hours per Resident per Day
0.59459
Reported RN Staffing Hours per Resident per Day
0.51216
Reported Licensed Staffing Hours per Resident per Day
1.10676
Reported Total Nurse Staffing Hours per Resident per Day
3.12499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01622
Expected CNA Staffing Hours per Resident per Day
2.29169
Expected LPN Staffing Hours per Resident per Day
0.61623
Expected RN Staffing Hours per Resident per Day
1.12144
Expected Total Nurse Staffing Hours per Resident per Day
4.02936
Adjusted CNA Staffing Hours per Resident per Day
2.16092
Adjusted LPN Staffing Hours per Resident per Day
0.80085
Adjusted RN Staffing Hours per Resident per Day
0.34125
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12618
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2013-06-20
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Fairhaven Community
850 S Marseilles Avenue |
UPPER SANDUSKY OH 43351 | 0.9 mile away