Avon Place - Avon Nursing Home
General Information
UPDATEFederal Provider Number
365155
Provider Name
AVON PLACE
Provider Address
32900 DETROIT RD
AVON, OH 44011
AVON, OH 44011
Provider Phone Number
4409376201
Provider SSA County
480
Provider County Name
Lorain
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF AVON LLC
Date First Approved to Provide Medicare and Medicaid services
1967-02-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.38071
Reported LPN Staffing Hours per Resident per Day
0.76429
Reported RN Staffing Hours per Resident per Day
0.69929
Reported Licensed Staffing Hours per Resident per Day
1.46357
Reported Total Nurse Staffing Hours per Resident per Day
3.84429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14214
Expected CNA Staffing Hours per Resident per Day
2.40909
Expected LPN Staffing Hours per Resident per Day
0.68028
Expected RN Staffing Hours per Resident per Day
1.18015
Expected Total Nurse Staffing Hours per Resident per Day
4.26952
Adjusted CNA Staffing Hours per Resident per Day
2.42480
Adjusted LPN Staffing Hours per Resident per Day
0.93250
Adjusted RN Staffing Hours per Resident per Day
0.44275
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62943
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
2
Total Amount of Fines in Dollars
35400
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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