Mentor Woods Skilled Nursing And Rehabilitation - Mentor Nursing Home

General Information

UPDATE
Federal Provider Number
366015
Provider Name
MENTOR WOODS SKILLED NURSING AND REHABILITATION
Provider Address
8881 SCHAEFER ST
MENTOR, OH 44060
Provider Phone Number
4402559309
Provider SSA County
440
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTERN RESERVE HEALTHCARE CO LLC
Date First Approved to Provide Medicare and Medicaid services
1995-07-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.84773
Reported LPN Staffing Hours per Resident per Day
0.88727
Reported RN Staffing Hours per Resident per Day
0.71682
Reported Licensed Staffing Hours per Resident per Day
1.60409
Reported Total Nurse Staffing Hours per Resident per Day
4.45182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04136
Expected CNA Staffing Hours per Resident per Day
2.26549
Expected LPN Staffing Hours per Resident per Day
0.64086
Expected RN Staffing Hours per Resident per Day
1.13626
Expected Total Nurse Staffing Hours per Resident per Day
4.04261
Adjusted CNA Staffing Hours per Resident per Day
3.08431
Adjusted LPN Staffing Hours per Resident per Day
1.14914
Adjusted RN Staffing Hours per Resident per Day
0.47138
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43893
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
104
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
104
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-03-22
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
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
89.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
2
Total Amount of Fines in Dollars
4355
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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