Magnolia Village Retirement Community Ltd - Wadsworth Nursing Home

General Information

UPDATE
Federal Provider Number
365428
Provider Name
MAGNOLIA VILLAGE RETIREMENT COMMUNITY LTD
Provider Address
365 JOHNSON RD
WADSWORTH, OH 44281
Provider Phone Number
3303351558
Provider SSA County
530
Provider County Name
Medina
Ownership Type
For profit - Individual
Number of Certified Beds
96
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA VILLAGE RETIREMENT COMMUNITY LTD
Date First Approved to Provide Medicare and Medicaid services
1979-11-13
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24667
Reported LPN Staffing Hours per Resident per Day
0.87467
Reported RN Staffing Hours per Resident per Day
0.49133
Reported Licensed Staffing Hours per Resident per Day
1.36600
Reported Total Nurse Staffing Hours per Resident per Day
3.61267
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05267
Expected CNA Staffing Hours per Resident per Day
2.38982
Expected LPN Staffing Hours per Resident per Day
0.69112
Expected RN Staffing Hours per Resident per Day
1.34943
Expected Total Nurse Staffing Hours per Resident per Day
4.43038
Adjusted CNA Staffing Hours per Resident per Day
2.30672
Adjusted LPN Staffing Hours per Resident per Day
1.05043
Adjusted RN Staffing Hours per Resident per Day
0.27206
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28692
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-19
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.00000
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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