Auburn Skilled Nursing And Rehab - Salem Nursing Home
General Information
UPDATEFederal Provider Number
366218
Provider Name
AUBURN SKILLED NURSING AND REHAB
Provider Address
451 VALLEY ROAD
SALEM, OH 44460
SALEM, OH 44460
Provider Phone Number
(330) 537-4621
Provider SSA County
140
Provider County Name
Columbiana
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST BRANCH NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
2001-05-26
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77750
Reported LPN Staffing Hours per Resident per Day
0.88375
Reported RN Staffing Hours per Resident per Day
0.45625
Reported Licensed Staffing Hours per Resident per Day
1.34000
Reported Total Nurse Staffing Hours per Resident per Day
3.11750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02000
Expected CNA Staffing Hours per Resident per Day
2.43864
Expected LPN Staffing Hours per Resident per Day
0.63283
Expected RN Staffing Hours per Resident per Day
1.14863
Expected Total Nurse Staffing Hours per Resident per Day
4.22010
Adjusted CNA Staffing Hours per Resident per Day
1.78847
Adjusted LPN Staffing Hours per Resident per Day
1.15910
Adjusted RN Staffing Hours per Resident per Day
0.29680
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97773
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
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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