Independence House
Independence House Information
| Facility Name | Independence House |
| Location | 1000 Independence Rd, Fostoria, OH 44830 |
| County (SSA Code) | Hancock (330) |
| Phone Number | 419-435-8505 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 39.5 |
| 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 | Resident |
| Provider Business Name | BLANCHARD VALLEY CONTINUING CARE SERVICES |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1992-02-10 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.58081 |
| Reported LPN Staffing Hours per Resident per Day | 0.47541 |
| Reported RN Staffing - Hours per Resident per Day | 0.76179 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.2372 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.81802 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04904 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.10473 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.74557 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35026 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20055 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.80327 |
| Total Weighted Health Survey Score for three cycles | 20 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-13 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-31 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-30 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |