Countryside Manor Nursing And Rehabilitation Llc
Countryside Manor Nursing And Rehabilitation Llc Information
| Facility Name | Countryside Manor Nursing And Rehabilitation Llc |
| Location | 1865 Countryside Drive, Fremont, OH 43420 |
| County (SSA Code) | Sandusky (730) |
| Phone Number | 419-334-2602 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 82 |
| Average Number of Residents | 54.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1979-05-29 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.89628 |
| Reported LPN Staffing Hours per Resident per Day | 0.83342 |
| Reported RN Staffing - Hours per Resident per Day | 0.54081 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.37422 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.2705 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.08046 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.14715 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.84593 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.44496 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.43804 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.03282 |
| Total Weighted Health Survey Score for three cycles | 33.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-26 |
| Rating cycle 1 - Health Deficiency Score | 12 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-03 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-17 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 7 |
| Number of Substantiated Complaints | 7 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |