Addison Heights Health And Rehabilitation Center - Maumee Nursing Home
General Information
UPDATEFederal Provider Number
366041
Provider Name
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER
Provider Address
3600 BUTZ RD
MAUMEE, OH 43537
MAUMEE, OH 43537
Provider Phone Number
(419) 867-7926
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SWAN POINTE FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-02
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
2
QM Rating Footnote
Staffing Rating
2
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
1.85692
Reported LPN Staffing Hours per Resident per Day
0.65692
Reported RN Staffing Hours per Resident per Day
0.63615
Reported Licensed Staffing Hours per Resident per Day
1.29308
Reported Total Nurse Staffing Hours per Resident per Day
3.14999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03538
Expected CNA Staffing Hours per Resident per Day
2.19792
Expected LPN Staffing Hours per Resident per Day
0.66051
Expected RN Staffing Hours per Resident per Day
1.06664
Expected Total Nurse Staffing Hours per Resident per Day
3.92507
Adjusted CNA Staffing Hours per Resident per Day
2.07302
Adjusted LPN Staffing Hours per Resident per Day
0.82549
Adjusted RN Staffing Hours per Resident per Day
0.44563
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23492
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
28
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
28990
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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