Broadway Care Center Of Maple Heights - Maple Heights Nursing Home

General Information

UPDATE
Federal Provider Number
365701
Provider Name
BROADWAY CARE CENTER OF MAPLE HEIGHTS
Provider Address
16231 BROADWAY
MAPLE HEIGHTS, OH 44137
Provider Phone Number
2166620551
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMBASSY BROADWAY MANAGEMENT
Date First Approved to Provide Medicare and Medicaid services
1987-09-28
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
2
Health Inspection Rating Footnote
QM Rating
2
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
3.28125
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.45909
Reported Licensed Staffing Hours per Resident per Day
0.45909
Reported Total Nurse Staffing Hours per Resident per Day
3.74034
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03409
Expected CNA Staffing Hours per Resident per Day
2.33990
Expected LPN Staffing Hours per Resident per Day
0.72767
Expected RN Staffing Hours per Resident per Day
1.30111
Expected Total Nurse Staffing Hours per Resident per Day
4.36868
Adjusted CNA Staffing Hours per Resident per Day
3.44083
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.26365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45114
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-25
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
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-25
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
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
46.00000
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

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