Overall Rating
SFF Candidate
Address
1670 Crider Rd
Mansfield, OH 44903
Contact
4195896222
Certification Date
1991-05-06
CMS Certification Number
365837
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Average Number of Residents per Day
65.5
Provider Type
Medicare and Medicaid
Legal Business Name
OAK GROVE MANOR OPERATING COMPANY LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.98586
Reported LPN Staffing Hours per Resident per Day
1.11589
Reported RN Staffing Hours per Resident per Day
0.33597
Reported Total Nurse Staffing Hours per Resident per Day
3.43772
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.84674
Registered Nurse Hours per Resident per Day on the Weekend
0.32831
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01974
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
2
Total Weighted Health Survey Score
307.167
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
36
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-11-15
Total Number of Health Deficiencies
38
Number of Standard Health Deficiencies
25
Number of Complaint Health Deficiencies
15
Health Deficiency Score
347
Number of Health Revisits
2
Health Revisit Score
174
Total Health Score
521
Standard Health Survey Date
2019-10-17
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
13
Health Deficiency Score
96
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
96
Standard Health Survey Date
2018-08-23
Total Number of Health Deficiencies
16
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
4
Health Deficiency Score
88
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
88
Number of Fines
2
Total Amount of Fines in Dollars
19168.94
Number of Payment Denials
1
Total Number of Penalties
3