Heartland of Miamisburg
450 Oak Ridge Boulevard, Miamisburg, OH 45342


Heartland of Miamisburg is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 365640. The address is 450 Oak Ridge Boulevard, Miamisburg, OH 45342. The zip code is 45342. The phone number is 9378668885.


Heartland of Miamisburg · 450 Oak Ridge Boulevard, Miamisburg, OH 45342

Federal Provider Number 365640
Provider Name HEARTLAND OF MIAMISBURG
Address 450 OAK RIDGE BOULEVARD
MIAMISBURG, OH 45342
Phone Number 9378668885
SSA County Code 580
County Name Montgomery
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 79
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HEARTLAND OF MIAMISBURG OH LLC
Date First Approved to Provide Medicare Medicaid Services 09/20/1984
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.75
Reported LPN Staffing Hours per Resident per Day 0.78038
Reported RN Staffing Hours per Resident per Day 0.96772
Reported Licensed Staffing Hours per Resident per Day 1.7481
Reported Total Nurse Staffing Hours per Resident per Day 3.4981
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13481
Expected CNA Staffing Hours per Resident per Day 2.34498
Expected LPN Staffing Hours per Resident per Day 0.7256
Expected RN Staffing Hours per Resident per Day 1.18699
Expected Total Nurse Staffing Hours per Resident per Day 4.25758
Adjusted CNA Staffing Hours per Resident per Day 1.83114
Adjusted LPN Staffing Hours per Resident per Day 0.89266
Adjusted RN Staffing Hours per Resident per Day 0.60917
Adjusted Total Nurse Staffing Hours per Resident per Day 3.31186
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 0
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 04/27/2017
Cycle 1 Number of Health Revisits 0
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 11
Cycle 2 Health Deficiency Score 167
Cycle 2 Standard Health Survey Date 01/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 167
Cycle 3 Total Number of Health Deficiencies 0
Cycle 3 Number of Standard Health Deficiencies 0
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 0
Cycle 3 Standard Health Survey Date 10/23/2014
Cycle 3 Number of Health Revisits 0
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 0
Total Weighted Health Survey Score 57.667
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 12
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Heartland of Miamisburg

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 09/30/2012
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/20/2007
HCR IV HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/20/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/05/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 12/31/2009
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 09/30/2012
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/17/2007
PARKER, DAVID (Individual) OFFICER since 07/24/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
RECKER, CRAIG (Individual) MANAGING EMPLOYEE since 04/26/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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