Camelot Arms Care Center - Youngstown Nursing Home
General Information
UPDATEFederal Provider Number
365972
Provider Name
CAMELOT ARMS CARE CENTER
Provider Address
2958 CANFIELD RD
YOUNGSTOWN, OH 44511
YOUNGSTOWN, OH 44511
Provider Phone Number
(330) 792-5511
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMELOT ARMS CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-07-18
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
2
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
2.18158
Reported LPN Staffing Hours per Resident per Day
0.94605
Reported RN Staffing Hours per Resident per Day
0.47368
Reported Licensed Staffing Hours per Resident per Day
1.41974
Reported Total Nurse Staffing Hours per Resident per Day
3.60131
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03750
Expected CNA Staffing Hours per Resident per Day
2.16889
Expected LPN Staffing Hours per Resident per Day
0.67185
Expected RN Staffing Hours per Resident per Day
1.23099
Expected Total Nurse Staffing Hours per Resident per Day
4.07173
Adjusted CNA Staffing Hours per Resident per Day
2.46806
Adjusted LPN Staffing Hours per Resident per Day
1.16874
Adjusted RN Staffing Hours per Resident per Day
0.28752
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56520
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
34
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
67.00000
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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