Springfield Masonic Community · The Ohio Masonic Home

9375253000 · 3 Masonic Drive, Springfield, OH 45501

Overview

Springfield Masonic Community is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #366116. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 3 Masonic Drive, Springfield, OH 45501. The overall rating is 4.

Federal Provider Number 366116
Provider Name SPRINGFIELD MASONIC COMMUNITY
Legal Business Name THE OHIO MASONIC HOME
Address 3 Masonic Drive
Springfield
OH 45501
County Clark
Telephone 9375253000
Ownership Type Non profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1997-04-14
Number of Certified Beds 114
Average Number of Residents per Day 103.4
Provider Resides in Hospital N
Continuing Care Retirement Community Y
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 5
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Registered Nurses Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Reported Staffing Footnote This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure.
Physical Therapist Staffing Footnote This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure.
Rating Cycle 1 Standard Survey Health Date 2020-02-27
Rating Cycle 1 Total Number of Health Deficiencies 3
Rating Cycle 1 Number of Standard Health Deficiencies 3
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 12
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 12
Rating Cycle 2 Standard Health Survey Date 2019-01-10
Rating Cycle 2 Total Number of Health Deficiencies 6
Rating Cycle 2 Number of Standard Health Deficiencies 6
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 32
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 32
Rating Cycle 3 Standard Health Survey Date 2017-12-07
Rating Cycle 3 Total Number of Health Deficiencies 5
Rating Cycle 3 Number of Standard Health Deficiencies 5
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 20
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 20.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 0
Number of Fines 1
Total Amount of Fines in Dollars 650.00
Number of Payment Denials 0
Total Number of Penalties 1
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
SPRINGFIELD MASONIC COMMUNITY

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
DIRECTOREVANS, STANIndividualsince 02/22/2010
DIRECTORHOWARD, MARKIndividualsince 08/14/2014
DIRECTORKOSS, CLIFFORDIndividualsince 08/14/2014
DIRECTORLEEK, JESSIEIndividualsince 08/14/2014
DIRECTORPARKER, JAMESIndividualsince 06/29/2009
DIRECTORTRENT, MARTINIndividualsince 08/14/2014
MANAGING EMPLOYEEMINNICK, KATHRYNIndividualsince 10/07/2018
OFFICERBERARDI, ANTHONYIndividualsince 06/01/2016
OFFICERBUCHANAN, SCOTTIndividualsince 08/14/2014
OFFICERMALONEY, THOMASIndividualsince 08/15/2016

Nursing Homes with the same name

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Western Reserve Masonic Comm · The Ohio Masonic Home 4931 Nettleton Road, Medina, OH 4425633072130002002-06-215

Location Information

Street Address 3 MASONIC DRIVE
City SPRINGFIELD
State OH
Zip Code 45501

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.