Provider Name: THE WILLOWS AT TIFFIN
Address: 410 FAIR LANE, TIFFIN, OH 44883
Phone: (419) 443-0059
County: Seneca (750)
Ownership Type: For profit - Corporation
Certified Beds: 67
Average Residents Per Day: 62.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TRILOGY HEALTHCARE OF TIFFIN, LLC
First Approved Date: December 11, 2019
Affiliated Entity: TRILOGY HEALTH SERVICES (524)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.76831, LPN Staff Hours Per Day: 0.9857, RN Staff Hours Per Day: 0.3823, Licensed Staff Hours Per Day: 1.3680
Total Nurse Staff Hours Per Day, per resident: 3.13640
Weekend Nurse Staff Hours: 2.95014, Weekend RN Staff Hours: 0.3115
PT Staff Hours Per Day, per resident: 0.0669
Nurse Staff Turnover: 42.6, Nurse Turnover Note:
RN Turnover: 45.5, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9014, Case Mix LPN Hours Per Day: 0.7915, Case Mix RN Hours Per Day: 0.4889
Adjusted Nurse Aide Hours Per Day, per resident: 1.89464, Adjusted LPN Hours Per Day: 0.9190, Adjusted RN Hours Per Day: 0.2946
Total Adjusted Nurse Hours Per Day, per resident: 3.10691
Adjusted Weekend Nurse Hours Per Day, per resident: 2.92240
Health Survey Dates and Scores: Cycle 1: 2023-03-23 (Score: 8), Cycle 2: 2019-12-11 (Score: 0), Cycle 3: (Score: .)
Total Weighted Health Score: 4.800
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 410 FAIR LANE,TIFFIN,OH,44883 (41.1096, -83.200)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Allow residents to self-administer drugs if determined clinically appropriate.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-07