Arbors At Clyde Nsg Assist L - Clyde Nursing Home
General Information
UPDATEFederal Provider Number
365740
Provider Name
ARBORS AT CLYDE NSG ASSIST L
Provider Address
700 HELEN STREET
CLYDE, OH 43410
CLYDE, OH 43410
Provider Phone Number
(419) 547-9595
Provider SSA County
730
Provider County Name
Sandusky
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARBORS AT TOLEDO, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-06-20
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.04070
Reported LPN Staffing Hours per Resident per Day
0.58837
Reported RN Staffing Hours per Resident per Day
0.99070
Reported Licensed Staffing Hours per Resident per Day
1.57907
Reported Total Nurse Staffing Hours per Resident per Day
3.61977
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06163
Expected CNA Staffing Hours per Resident per Day
2.27738
Expected LPN Staffing Hours per Resident per Day
0.65431
Expected RN Staffing Hours per Resident per Day
0.98214
Expected Total Nurse Staffing Hours per Resident per Day
3.91383
Adjusted CNA Staffing Hours per Resident per Day
2.19870
Adjusted LPN Staffing Hours per Resident per Day
0.74635
Adjusted RN Staffing Hours per Resident per Day
0.75371
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72804
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
4
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
17.33300
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
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