Special Note The State of Michigan does not license assisted or independent living facilities. Please note, however, that a Home for the Aged or Adult Foster Care. Step 2 involves research your specific and current state requirements, funding options and obtaining relevant applications and forms for starting project. State Of Michigan Licensed Afc Homes' title='State Of Michigan Licensed Afc Homes' />Cincinnati Wikipedia. Cincinnati, Ohio. City. City of Cincinnati, Ohio. Nicknames The Queen City, Cincy, The Fountain City. Motto Juncta Juvant Lat. Strength in UnityLocation in Hamilton County and the state of Ohio. Location in the United States of America. State Of Michigan Licensed Afc Homes' title='State Of Michigan Licensed Afc Homes' />Www. Complete List of All Links Updated February 20, 2000. Home Complete list Property Casualty Carriers Life Health Carriers. The Arc of Oakland County maintains a contractual agreement with The Arc Michigan underwritten by the Oakland County Community Mental Health Authority for the. Apprise Consulting specialise in all aspects of logistics, supply chain and warehouse management. Let us help you reduce your operational costs. Coordinates 3. 96N8. W 3. 9. 1. 00N 8. W 3. 9. 1. 00 8. Coordinates 3. N8. W 3. 9. 1. 00N 8. W 3. 9. 1. 00 8. Country. United States. State. Ohio. County. Hamilton. Settled. Incorporated. Named for. Society of the Cincinnati. Government  Type. Mayorcouncil  Mayor. John Cranley DArea1  City. Land. 77. 9. 4 sq mi 2. Water. 1. 6. 0 sq mi 4. Elevation. 48. 2 ft 1. Population 2. 01. City. 29. 6,9. 43  Estimate 2. Rank. US 6. 5th  Density. Metro. 2,1. 37,4. US 2. 8th  Demonym. Cincinnatian. Time zone. EST UTC 5  Summer DSTEDT UTC 4ZIP codes. Area code. 51. 3FIPS code. GNIS feature ID1. Websitecincinnati oh. Cincinnati SIN si NAT ee is a major city in the U. S. state of Ohio that serves as county seat of Hamilton County. Settled in 1. Licking with the Ohio River. With a population of 2. Cincinnati is the third largest city in Ohio and the 6. United States. Its metropolitan statistical area is the 2. United States and the largest centered in Ohio. The city is also part of the larger CincinnatiMiddletownWilmington combined statistical area, which had a population of 2,1. In the 1. 9th century, Cincinnati was an American boomtown in the heart of the country it rivaled the larger coastal cities in size and wealth. Throughout much of the 1. U. S. cities by population, surpassed only by New Orleans and the older, established settlements of the Eastern Seaboard at one point holding the position of Americas sixth largest city for a period spanning consecutive census reports from 1. It was by far the largest city in the west. Because it is the first major American city founded after the American Revolution as well as the first major inland city in the country, Cincinnati is sometimes thought of as the first purely American city. Cincinnati developed with less European immigration or influence than eastern cities attracted in the same period however, it received a significant number of German immigrants, who founded many of the citys cultural institutions. By the end of the 1. Cincinnatis growth slowed considerably. The city was surpassed in population by other inland cities, particularly Chicago, which developed based on commodity exploitation and the railroads, and St. Louis, for decades after the Civil War the gateway to westward migration. Cincinnati is home to two major sports teams, the Cincinnati Reds, the oldest franchise in Major League Baseball, and the Cincinnati Bengals of the National Football League. Outside the US the city is well known primarily for the Cincinnati Masters tennis tournament. The University of Cincinnati, founded in 1. United States. 1. Cincinnati is known for its historic architecture. In the late 1. 80. Cincinnati was commonly referred to as Paris of America, due mainly to such ambitious architectural projects as the Music Hall, Cincinnatian Hotel, and Shillito Department Store. Cincinnati is also the birthplace of William Howard Taft, the 2. President of the United States. Historyedit. Cincinnati in 1. Cincinnati was founded in 1. Mathias Denman, Colonel Robert Patterson and Israel Ludlow landed at the spot on the north bank of the Ohio River opposite the mouth of the Licking River and decided to settle there. The original surveyor, John Filson, named it Losantiville. In 1. 79. 0, Arthur St. Clair, the governor of the Northwest Territory, changed the name of the settlement to Cincinnati in honor of the Society of the Cincinnati, made up of Revolutionary War veterans, of which he was a member. Ethnic Germans were among the early settlers, migrating from Pennsylvania and the backcountry of Virginia and Tennessee. General David Ziegler succeeded General St. Clair in command at Fort Washington. After the conclusion of the Northwest Indian Wars and removal of Native Americans to the west, he was elected as the mayor of Cincinnati in 1. The introduction of steamboats on the Ohio River in 1. St. Louis, Missouri and especially New Orleans downriver. Cincinnati was incorporated as a city in 1. Exporting pork products and hay, it became a center of pork processing in the region. From 1. 81. 0 to 1. Completion of the Miami and Erie Canal in 1. Middletown, Ohio further stimulated businesses, and employers struggled to hire enough people to fill positions. The city had a labor shortage until large waves of immigration by Irish and Germans in the late 1. The city grew rapidly over the next two decades, reaching 1. Cincinnati in 1. 84. Miami and Erie Canal in the foreground. Construction on the Miami and Erie Canal began on July 2. Miami Canal, related to its origin at the Great Miami River. The first section of the canal was opened for business in 1. In 1. 82. 7, the canal connected Cincinnati to nearby Middletown by 1. Toledo. During this period of rapid expansion and prominence, residents of Cincinnati began referring to the city as the Queen City. Cincinnati depended on trade with the slave states south of the Ohio River, at a time when thousands of blacks were settling in the free state of Ohio, most from Kentucky and Virginia and some of them fugitives seeking freedom in the North. Many came to find work in Cincinnati. In the antebellum years, the majority of native born whites in the city came from northern states, primarily Pennsylvania. In 1. 84. 1 2. 6 percent of whites were from the South and 5. Pennsylvania. 1. 8 They retained their cultural support for slavery. This led to tensions between pro slavery residents and those in favor of abolitionism and lifting restrictions on free people of color, as codified in the Black Code of 1. The volatile social conditions produced white led riots against blacks in 1. As Irish immigrants entered the city in the late 1. White led riots against blacks occurred in 1. More than one thousand blacks abandoned the city after the 1. Blacks in Philadelphia and other major cities raised money to help the refugees recover from the destruction. By 1. 84. 2 blacks had become better established in the city they defended their persons and property in the riot, and worked politically as well. After the steamboats, railroads were the next major form of commercial transportation to come to Cincinnati. In 1. 83. 6, the Little Miami Railroad was chartered. Construction began soon after, to connect Cincinnati with the Mad River and Lake Erie Railroad, and provide access to the ports of the Sandusky Bay on Lake Erie. In 1. 85. 9, Cincinnati laid out six streetcar lines the cars were pulled by horses and the lines made it easier for people to get around the city. By 1. 87. 2, Cincinnatians could travel on the streetcars within the city and transfer to rail cars for travel to the hill communities. The Cincinnati Inclined Plane Company began transporting people to the top of Mount Auburn that year. In 1. 88. 0, the city government completed the Cincinnati Southern Railway to Chattanooga, Tennessee. It is the only municipality owned interstate railway in the United States. In 1. 88. 4, outrage over a manslaughter verdict in what many observers thought was a clear case of murder triggered the Courthouse riots, one of the most destructive riots in American history. Over the course of three days, 5. Nursing Homes Skilled Nursing Facilities. The Medicare system turns 4. The Centers for Medicare Medicaid Services CMS began rating the nations 1. December 2. 00. 8. The goal was to create a standard for the evaluation of Nursing Homes. A 5 Star Rating system was developed to simplify, organize and compare nursing care providers. Our goal in developing this unprecedented quality rating system is to provide families a straightforward assessment of nursing home quality, with meaningful distinctions between high and low performing homes, said CMS Acting Administrator Kerry Weems. The new information will also help consumers and families identify important questions to ask nursing homes and challenge nursing homes to improve their quality of care. Under the 5 Star Rating system, nursing care communities are rated on three sets of information     1. Health Inspections. Federal and State governments regulate any nursing care community that accepts Medicare andor Medicaid. Communities are given an annual survey by the state, on average, every 1. State surveyors also investigate complaints from staff, residents or families. The surveyors review and evaluate the community based on over 1. These items include a wide range of standards from adherence to residents rights to protecting residents from physical and mental abuse, to food preparation and storage. The health inspection portion of the rating system is based on the last three years of surveys, including both the annual and complaint surveys. The most recent years surveys are weighted more heavily than the previous two years. Youtube Download Browser Plugin Safari. Staffing. Staffing is often considered the key criteria for evaluating quality of care. If a care community is understaffed, residents do not receive quality care. The staffing rating has information about the number of hours of care on average that is provided to each resident each day by nursing staff. This is broken down in to an overall average, in addition to the type of caregiver Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse, and Certified Nurse Aide. This rating system factors in the differences in needs of residents and their medical conditions. A nursing home with more complex illnesses would be expected to have higher staffing than those will less serious conditions. Quality Measures. In this area of the rating, CMS looks at 1. These measures are both physical and clinical indicators of how well a resident is being cared for by the community. Some examples include looking to see if there has been decrease in residents mobility or an increase in residents pain. It also looks at the prevalence of pressure sores among residents. How Ratings Are Calculated. CMS uses a three step formula to decide how many stars a nursing home should receive as an overall rating of its quality of care. Step 1 A nursing home is first assigned a number of stars 1 through 5 according to information from health inspections of the home over three years. This number is the base rating. Step 2 Stars are added or deducted according to the homes staff rating, which is based on the average number of hours of care per day residents receive. If the homes staff rating is 4 or 5 stars, one star is added to the base rating. If staff rating is only one star, then one star is subtracted from the base rating. If staff rating is 2 or 3 stars, the base rating remains the same. Step 3 Stars are added or subtracted according to how well or poorly the home scores on 1. QM. If its QM rating is 5 stars, one star is added to the rating derived from steps 1 and 2. If the QM rating is only one star, then one star is subtracted from this rating. If the QM measure is 2, 3 or 4 stars, the rating remains the same. Strengths and Limitations of the Five Star Ratings. As with any rating system, there are strengths and weaknesses of the review system. The strengths and limitations below are taken from the governments www. Health Inspection Results. Strengths Comprehensive The nursing home health inspection process looks at all major aspects of care in a nursing home about 1. Onsite Visits by Trained Inspectors It is the only source of information that comes from a trained team of objective surveyors who visit each nursing home to check on the quality of care, inspect medical records, and talk with residents about their care. Federal Quality Checks Federal surveyors check on the state surveyors work to make sure they are following the national process and that any differences between states stay within reasonable bounds. Limits Variation between States There are some differences in how different states carry out the inspection process, even though the standards are the same across the country. Medicaid Program Differences There are also differences in state licensing requirements that affect quality, and in state Medicaid programs that pay for much of the care in nursing homes. Staffing. Strengths Overall Staffing The quality ratings look at the overall number of staff compared to the number of residents and how many of the staff are trained nurses. Adjusted for the Population The ratings consider differences in how sick the nursing home residents are in each nursing home, since that will make a difference in how many staff is needed. Limits Self Reported The staffing data are self reported by the nursing home, rather than collected and reported by an independent agency. Snap Shot in Time Staffing data are reported just once a year and reflect staffing over a 2 week period of time. Quality Measures. Strengths In Depth Look The quality measures provide an important in depth look at how well each nursing home performs on ten important aspects of care. For example, these measures show how well the nursing home helps people keep their ability to dress and eat, or how well the nursing home prevents and treats skin ulcers. National Measures The ten quality measures we use in the Five Star rating are used in all nursing homes. Limits Self Reported Data The quality measures are self reported by the nursing home, rather than collected and reported by an independent agency. Just a Few Aspects of Care The quality measures represent only a few of the many aspects of care that may be important to you. The 5 Star Rating system is not meant to be a familys sole method of selecting a nursing care community. CMS does caution that this information should be used in conjunction with personal visits and research.