Provider Name: NORWICH SPRINGS HEALTH CAMPUS
Address: 4680 LIBRARY WAY, HILLIARD, OH 43026
Phone: (614) 363-1833
County: Franklin (250)
Ownership Type: For profit - Corporation
Certified Beds: 50
Average Residents Per Day: 41.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TRILOGY HEALTHCARE OF HILLIARD, LLC
First Approved Date: December 22, 2021
Affiliated Entity: TRILOGY HEALTH SERVICES (524)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: (1)
Health Inspection Rating: (1)
QM Rating: (1)
Long Stay QM Rating: (1)
Short Stay QM Rating: (1)
Staffing Rating: (1)
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.84981, LPN Staff Hours Per Day: 1.3494, RN Staff Hours Per Day: 0.7570, Licensed Staff Hours Per Day: 2.1064
Total Nurse Staff Hours Per Day, per resident: 3.95622
Weekend Nurse Staff Hours: 3.54153, Weekend RN Staff Hours: 0.7268
PT Staff Hours Per Day, per resident: 0.0000
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2985, Case Mix LPN Hours Per Day: 0.7788, Case Mix RN Hours Per Day: 0.4530
Adjusted Nurse Aide Hours Per Day, per resident: , Adjusted LPN Hours Per Day: , Adjusted RN Hours Per Day:
Total Adjusted Nurse Hours Per Day, per resident:
Adjusted Weekend Nurse Hours Per Day, per resident:
Health Survey Dates and Scores: Cycle 1: 2021-12-21 (Score: .), Cycle 2: (Score: .), Cycle 3: (Score: .)
Total Weighted Health Score:
Reported Incidents: 0, Substantiated Complaints: 6
Infection Control Citations:
Fines and Penalties: Number of Fines: 6, Total Fines in Dollars: 26136.50, Payment Denials Number: 0, Total Penalties Number: 6
Location and GPS: 4680 LIBRARY WAY,HILLIARD,OH,43026 (40.0325, -83.136)
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: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-12-27
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
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 2023-12-27
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2022-12-06
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-11-02
Type: Health, Deficiency: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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 2022-06-13
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2022-06-13
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-25
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: