Braeview Manor - Euclid Nursing Home
General Information
UPDATEFederal Provider Number
365729
Provider Name
BRAEVIEW MANOR
Provider Address
20611 EUCLID AVE
EUCLID, OH 44117
EUCLID, OH 44117
Provider Phone Number
2164869300
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLIANCE HEALTHCARE BRAEVIEW, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-04-05
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29722
Reported LPN Staffing Hours per Resident per Day
0.78542
Reported RN Staffing Hours per Resident per Day
0.41667
Reported Licensed Staffing Hours per Resident per Day
1.20208
Reported Total Nurse Staffing Hours per Resident per Day
3.49931
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04931
Expected CNA Staffing Hours per Resident per Day
2.28238
Expected LPN Staffing Hours per Resident per Day
0.72458
Expected RN Staffing Hours per Resident per Day
1.27327
Expected Total Nurse Staffing Hours per Resident per Day
4.28024
Adjusted CNA Staffing Hours per Resident per Day
2.46965
Adjusted LPN Staffing Hours per Resident per Day
0.89969
Adjusted RN Staffing Hours per Resident per Day
0.24452
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29546
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-20
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
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
Nursiong Homes Nearby
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Euclid Subacute Care Center
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