Ohio Nursing Homes >> Masury Nursing Homes >> O'brien Memorial Health Care C

O'brien Memorial Health Care C - Masury Nursing Home

General Information

UPDATE
Federal Provider Number
365555
Provider Name
O'BRIEN MEMORIAL HEALTH CARE C
Provider Address
563 BROOKFIELD AVE SE
MASURY, OH 44438
Provider Phone Number
3304482557
Provider SSA County
790
Provider County Name
Trumbull
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMNI MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-05-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28910
Reported LPN Staffing Hours per Resident per Day
1.02308
Reported RN Staffing Hours per Resident per Day
0.87949
Reported Licensed Staffing Hours per Resident per Day
1.90256
Reported Total Nurse Staffing Hours per Resident per Day
4.19167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02308
Expected CNA Staffing Hours per Resident per Day
2.61339
Expected LPN Staffing Hours per Resident per Day
0.71230
Expected RN Staffing Hours per Resident per Day
1.21048
Expected Total Nurse Staffing Hours per Resident per Day
4.53617
Adjusted CNA Staffing Hours per Resident per Day
2.14923
Adjusted LPN Staffing Hours per Resident per Day
1.19213
Adjusted RN Staffing Hours per Resident per Day
0.54289
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72477
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-12
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
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
2012-05-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
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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