Burbank Parke Care Center - Burbank Nursing Home
General Information
UPDATEFederal Provider Number
366392
Provider Name
BURBANK PARKE CARE CENTER
Provider Address
14976 BURBANK ROAD
BURBANK, OH 44214
BURBANK, OH 44214
Provider Phone Number
(330) 624-1030
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURBANK PARKE CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-09-16
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
3.20952
Reported LPN Staffing Hours per Resident per Day
1.25397
Reported RN Staffing Hours per Resident per Day
0.55873
Reported Licensed Staffing Hours per Resident per Day
1.81270
Reported Total Nurse Staffing Hours per Resident per Day
5.02222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01508
Expected CNA Staffing Hours per Resident per Day
2.41768
Expected LPN Staffing Hours per Resident per Day
0.65906
Expected RN Staffing Hours per Resident per Day
1.12158
Expected Total Nurse Staffing Hours per Resident per Day
4.19832
Adjusted CNA Staffing Hours per Resident per Day
3.25733
Adjusted LPN Staffing Hours per Resident per Day
1.57922
Adjusted RN Staffing Hours per Resident per Day
0.37223
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82194
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.66700
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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