Springfield Nursing & Independent Living
404 E Mccreight Ave, Springfield, OH 45503


Springfield Nursing & Independent Living is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 366099. The address is 404 E Mccreight Ave, Springfield, OH 45503. The zip code is 45503. The phone number is 9373998311.


Springfield Nursing & Independent Living · 404 E Mccreight Ave, Springfield, OH 45503

Federal Provider Number 366099
Provider Name SPRINGFIELD NURSING & INDEPENDENT LIVING
Address 404 E MCCREIGHT AVE
SPRINGFIELD, OH 45503
Phone Number 9373998311
SSA County Code 110
County Name Clark
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 82
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SPRINGFIELD HEALTHCARE GROUP INC
Date First Approved to Provide Medicare Medicaid Services 12/06/1996
Continuing Care Retirement Community true
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 3
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.0128
Reported LPN Staffing Hours per Resident per Day 0.6811
Reported RN Staffing Hours per Resident per Day 0.325
Reported Licensed Staffing Hours per Resident per Day 1.0061
Reported Total Nurse Staffing Hours per Resident per Day 2.0189
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06951
Expected CNA Staffing Hours per Resident per Day 2.07332
Expected LPN Staffing Hours per Resident per Day 0.57689
Expected RN Staffing Hours per Resident per Day 1.13152
Expected Total Nurse Staffing Hours per Resident per Day 3.78173
Adjusted CNA Staffing Hours per Resident per Day 1.19861
Adjusted LPN Staffing Hours per Resident per Day 0.97994
Adjusted RN Staffing Hours per Resident per Day 0.21461
Adjusted Total Nurse Staffing Hours per Resident per Day 2.15192
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 04/13/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 01/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 33.333
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Springfield Nursing & Independent Living

Owner Name Role Association Date
REPCHICK, GEORGE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/16/2011
REPCHICK, GEORGE (Individual) DIRECTOR since 03/01/2009
REPCHICK, GEORGE (Individual) OFFICER since 03/01/2009
REPCHICK, GEORGE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2009
SABER HEALTHCARE GROUP, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/2010
SABER HEALTHCARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
WEBB, BRANDON (Individual) MANAGING EMPLOYEE since 04/29/2013
WEISBERG, WILLIAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/19/2011
WEISBERG, WILLIAM (Individual) DIRECTOR since 03/01/2009
WEISBERG, WILLIAM (Individual) OFFICER since 03/01/2009
WEISBERG, WILLIAM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2009

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