Hennis Care Centre of Dover
1720 Cross Street, Dover, OH 44622


Hennis Care Centre of Dover is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 365838. The address is 1720 Cross Street, Dover, OH 44622. The zip code is 44622. The phone number is 3303648849.


Hennis Care Centre of Dover · 1720 Cross Street, Dover, OH 44622

Federal Provider Number 365838
Provider Name HENNIS CARE CENTRE OF DOVER
Address 1720 CROSS STREET
DOVER, OH 44622
Phone Number 3303648849
SSA County Code 800
County Name Tuscarawas
Ownership Type For profit - Corporation
Certified Beds 147
Certified Beds Residents 129
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HENNIS CARE CENTRE OF DOVER INC.
Date First Approved to Provide Medicare Medicaid Services 03/25/1991
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.25388
Reported LPN Staffing Hours per Resident per Day 0.49767
Reported RN Staffing Hours per Resident per Day 1.48256
Reported Licensed Staffing Hours per Resident per Day 1.98023
Reported Total Nurse Staffing Hours per Resident per Day 5.23411
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04496
Expected CNA Staffing Hours per Resident per Day 2.83628
Expected LPN Staffing Hours per Resident per Day 0.72651
Expected RN Staffing Hours per Resident per Day 1.1211
Expected Total Nurse Staffing Hours per Resident per Day 4.6839
Adjusted CNA Staffing Hours per Resident per Day 2.81497
Adjusted LPN Staffing Hours per Resident per Day 0.56856
Adjusted RN Staffing Hours per Resident per Day 0.98811
Adjusted Total Nurse Staffing Hours per Resident per Day 4.50441
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 11/17/2016
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 22
Cycle 1 Total Health Score 66
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 08/27/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 11/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 41
Number of Fines 1
Total Amount of Fines in Dollars $3214.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Hennis Care Centre of Dover

Owner Name Role Association Date
BRYCO MANAGEMENT, INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2001
HENNIS, HARRY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
91%
since 09/01/1982
HENNIS, HARRY (Individual) DIRECTOR since 12/01/2001
HENNIS, HARRY (Individual) MANAGING EMPLOYEE since 12/01/2001
HENNIS, HARRY (Individual) OFFICER since 12/01/2001
SICKINGER, PAULA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 12/19/2011
SICKINGER, PAULA (Individual) DIRECTOR since 04/01/2003
SICKINGER, PAULA (Individual) MANAGING EMPLOYEE since 04/01/2003
SICKINGER, PAULA (Individual) OFFICER since 04/01/2003

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