Avenue At Medina - Medina Nursing Home

General Information

UPDATE
Federal Provider Number
366407
Provider Name
AVENUE AT MEDINA
Provider Address
699 EAST SMITH ROAD
MEDINA, OH 44256
Provider Phone Number
3307217001
Provider SSA County
530
Provider County Name
Medina
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROGRESSIVE MEDINA LLC
Date First Approved to Provide Medicare and Medicaid services
2013-06-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20147
Reported LPN Staffing Hours per Resident per Day
0.94632
Reported RN Staffing Hours per Resident per Day
0.89632
Reported Licensed Staffing Hours per Resident per Day
1.84265
Reported Total Nurse Staffing Hours per Resident per Day
4.04411
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08603
Expected CNA Staffing Hours per Resident per Day
2.51643
Expected LPN Staffing Hours per Resident per Day
0.72744
Expected RN Staffing Hours per Resident per Day
1.46495
Expected Total Nurse Staffing Hours per Resident per Day
4.70882
Adjusted CNA Staffing Hours per Resident per Day
2.14659
Adjusted LPN Staffing Hours per Resident per Day
1.07974
Adjusted RN Staffing Hours per Resident per Day
0.45717
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46189
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
7.20000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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