Bethany Nursing Home, Inc - Canton Nursing Home
General Information
UPDATEFederal Provider Number
366334
Provider Name
BETHANY NURSING HOME, INC
Provider Address
626 34TH STREET, NW
CANTON, OH 44709
CANTON, OH 44709
Provider Phone Number
(330) 492-7171
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
76
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.27153
Reported LPN Staffing Hours per Resident per Day
1.38819
Reported RN Staffing Hours per Resident per Day
1.11250
Reported Licensed Staffing Hours per Resident per Day
2.50069
Reported Total Nurse Staffing Hours per Resident per Day
5.77222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01319
Expected CNA Staffing Hours per Resident per Day
2.56519
Expected LPN Staffing Hours per Resident per Day
0.69485
Expected RN Staffing Hours per Resident per Day
1.18220
Expected Total Nurse Staffing Hours per Resident per Day
4.44224
Adjusted CNA Staffing Hours per Resident per Day
3.12934
Adjusted LPN Staffing Hours per Resident per Day
1.65820
Adjusted RN Staffing Hours per Resident per Day
0.70315
Adjusted Total Nurse Staffing Hours per Resident per Day
5.23773
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
51.33300
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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