Autumn Hills Care Center - Niles Nursing Home
General Information
UPDATEFederal Provider Number
365672
Provider Name
AUTUMN HILLS CARE CENTER
Provider Address
2565 NILES VIENNA RD
NILES, OH 44446
NILES, OH 44446
Provider Phone Number
(330) 652-2053
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
136
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN HILLS NURSING & REHABILITATION CENTER OF NILES LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.28648
Reported LPN Staffing Hours per Resident per Day
1.21434
Reported RN Staffing Hours per Resident per Day
0.87090
Reported Licensed Staffing Hours per Resident per Day
2.08525
Reported Total Nurse Staffing Hours per Resident per Day
4.37172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04672
Expected CNA Staffing Hours per Resident per Day
2.61541
Expected LPN Staffing Hours per Resident per Day
0.77186
Expected RN Staffing Hours per Resident per Day
1.47518
Expected Total Nurse Staffing Hours per Resident per Day
4.86244
Adjusted CNA Staffing Hours per Resident per Day
2.14511
Adjusted LPN Staffing Hours per Resident per Day
1.30581
Adjusted RN Staffing Hours per Resident per Day
0.44112
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62410
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
24
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1690
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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