Orange Village Care Center - Masury Nursing Home
General Information
UPDATEFederal Provider Number
365991
Provider Name
ORANGE VILLAGE CARE CENTER
Provider Address
8055 ADDISON ROAD SE
MASURY, OH 44438
MASURY, OH 44438
Provider Phone Number
3304482547
Provider SSA County
790
Provider County Name
Trumbull
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1995-05-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79554
Reported LPN Staffing Hours per Resident per Day
0.87411
Reported RN Staffing Hours per Resident per Day
0.60982
Reported Licensed Staffing Hours per Resident per Day
1.48393
Reported Total Nurse Staffing Hours per Resident per Day
3.27947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02411
Expected CNA Staffing Hours per Resident per Day
2.23387
Expected LPN Staffing Hours per Resident per Day
0.71742
Expected RN Staffing Hours per Resident per Day
1.22601
Expected Total Nurse Staffing Hours per Resident per Day
4.17731
Adjusted CNA Staffing Hours per Resident per Day
1.97223
Adjusted LPN Staffing Hours per Resident per Day
1.01127
Adjusted RN Staffing Hours per Resident per Day
0.37166
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16453
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-01-07
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
52.66700
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
Nursiong Homes Nearby
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