Ashtabula County Medical Cente - Ashtabula Nursing Home
General Information
UPDATEFederal Provider Number
366048
Provider Name
ASHTABULA COUNTY MEDICAL CENTE
Provider Address
2420 LAKE AVENUE
ASHTABULA, OH 44004
ASHTABULA, OH 44004
Provider Phone Number
(440) 997-6710
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
ASHTABULA COUNTY MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1996-03-27
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
3
QM Rating Footnote
Staffing Rating
5
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
2.82727
Reported LPN Staffing Hours per Resident per Day
2.16818
Reported RN Staffing Hours per Resident per Day
3.10000
Reported Licensed Staffing Hours per Resident per Day
5.26818
Reported Total Nurse Staffing Hours per Resident per Day
8.09545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39091
Expected CNA Staffing Hours per Resident per Day
2.54924
Expected LPN Staffing Hours per Resident per Day
0.84063
Expected RN Staffing Hours per Resident per Day
1.85979
Expected Total Nurse Staffing Hours per Resident per Day
5.24966
Adjusted CNA Staffing Hours per Resident per Day
2.72131
Adjusted LPN Staffing Hours per Resident per Day
2.14077
Adjusted RN Staffing Hours per Resident per Day
1.24547
Adjusted Total Nurse Staffing Hours per Resident per Day
6.21601
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
21.33300
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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