Summit Acres Nursing Home - Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
365612
Provider Name
SUMMIT ACRES NURSING HOME
Provider Address
44565 SUNSET ROAD
CALDWELL, OH 43724
CALDWELL, OH 43724
Provider Phone Number
7407322364
Provider SSA County
620
Provider County Name
Noble
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT ACRES INC
Date First Approved to Provide Medicare and Medicaid services
1983-11-14
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.35823
Reported LPN Staffing Hours per Resident per Day
0.89367
Reported RN Staffing Hours per Resident per Day
0.61076
Reported Licensed Staffing Hours per Resident per Day
1.50443
Reported Total Nurse Staffing Hours per Resident per Day
3.86266
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06519
Expected CNA Staffing Hours per Resident per Day
2.56960
Expected LPN Staffing Hours per Resident per Day
0.64133
Expected RN Staffing Hours per Resident per Day
0.98799
Expected Total Nurse Staffing Hours per Resident per Day
4.19892
Adjusted CNA Staffing Hours per Resident per Day
2.25186
Adjusted LPN Staffing Hours per Resident per Day
1.15658
Adjusted RN Staffing Hours per Resident per Day
0.46191
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70810
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-11
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
20
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
27430
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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