Shady Lawn Nursing Home - Dalton Nursing Home
General Information
UPDATEFederal Provider Number
365591
Provider Name
SHADY LAWN NURSING HOME
Provider Address
15028 OLD LINCOLNWAY EAST
DALTON, OH 44618
DALTON, OH 44618
Provider Phone Number
3308282278
Provider SSA County
860
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROVIDE A CARE INC
Date First Approved to Provide Medicare and Medicaid services
1983-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.09930
Reported LPN Staffing Hours per Resident per Day
0.94648
Reported RN Staffing Hours per Resident per Day
0.71056
Reported Licensed Staffing Hours per Resident per Day
1.65704
Reported Total Nurse Staffing Hours per Resident per Day
3.75634
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06056
Expected CNA Staffing Hours per Resident per Day
2.44634
Expected LPN Staffing Hours per Resident per Day
0.68716
Expected RN Staffing Hours per Resident per Day
1.28527
Expected Total Nurse Staffing Hours per Resident per Day
4.41877
Adjusted CNA Staffing Hours per Resident per Day
2.10562
Adjusted LPN Staffing Hours per Resident per Day
1.14322
Adjusted RN Staffing Hours per Resident per Day
0.41309
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42662
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
2013-07-25
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2178
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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