Overall Rating
Address
4911 Covenant House Drive
Dayton, OH 45426
Contact
9378372651
Certification Date
1977-12-20
CMS Certification Number
365364
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
67
Average Number of Residents per Day
51.2
Provider Type
Medicare and Medicaid
Legal Business Name
EMBASSY GARDEN COURT LLC
Affiliated Entity Name
HILLSTONE HEALTHCARE
Affiliated Entity ID
271
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.84135
Reported LPN Staffing Hours per Resident per Day
0.90439
Reported RN Staffing Hours per Resident per Day
0.41344
Reported Total Nurse Staffing Hours per Resident per Day
3.15918
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.92144
Registered Nurse Hours per Resident per Day on the Weekend
0.22792
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02002
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
174.667
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
32
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2022-11-07
Total Number of Health Deficiencies
27
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
13
Health Deficiency Score
200
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
200
Standard Health Survey Date
2019-12-18
Total Number of Health Deficiencies
23
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
12
Health Deficiency Score
132
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
132
Standard Health Survey Date
2019-01-04
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
19
Health Deficiency Score
184
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
184
Number of Fines
25
Total Amount of Fines in Dollars
265097.55
Number of Payment Denials
3
Total Number of Penalties
28