Altercare Of Mayfield Village, Inc - Mayfield Village Nursing Home
General Information
UPDATEFederal Provider Number
366267
Provider Name
ALTERCARE OF MAYFIELD VILLAGE, INC
Provider Address
290 NORTH COMMONS BLVD
MAYFIELD VILLAGE, OH 44143
MAYFIELD VILLAGE, OH 44143
Provider Phone Number
(440) 473-9411
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALTERCARE OF MAYFIELD VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-05-15
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.18804
Reported LPN Staffing Hours per Resident per Day
0.56304
Reported RN Staffing Hours per Resident per Day
1.46957
Reported Licensed Staffing Hours per Resident per Day
2.03261
Reported Total Nurse Staffing Hours per Resident per Day
4.22065
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12391
Expected CNA Staffing Hours per Resident per Day
2.45985
Expected LPN Staffing Hours per Resident per Day
0.78472
Expected RN Staffing Hours per Resident per Day
1.56535
Expected Total Nurse Staffing Hours per Resident per Day
4.80992
Adjusted CNA Staffing Hours per Resident per Day
2.18257
Adjusted LPN Staffing Hours per Resident per Day
0.59553
Adjusted RN Staffing Hours per Resident per Day
0.70148
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53707
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-01-16
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-10-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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