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Brewster Convalescent Center - Brewster Nursing Home

General Information

UPDATE
Federal Provider Number
366264
Provider Name
BREWSTER CONVALESCENT CENTER
Provider Address
264 MOHICAN STREET NE
BREWSTER, OH 44613
Provider Phone Number
(330) 767-4179
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BREWSTER PARKE, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-04-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.59063
Reported LPN Staffing Hours per Resident per Day
0.50000
Reported RN Staffing Hours per Resident per Day
0.53125
Reported Licensed Staffing Hours per Resident per Day
1.03125
Reported Total Nurse Staffing Hours per Resident per Day
3.62188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01146
Expected CNA Staffing Hours per Resident per Day
2.61346
Expected LPN Staffing Hours per Resident per Day
0.74925
Expected RN Staffing Hours per Resident per Day
1.24433
Expected Total Nurse Staffing Hours per Resident per Day
4.60704
Adjusted CNA Staffing Hours per Resident per Day
2.43226
Adjusted LPN Staffing Hours per Resident per Day
0.55389
Adjusted RN Staffing Hours per Resident per Day
0.31901
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16894
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4002
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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