Campus Health & Rehab - Youngstown Nursing Home
General Information
UPDATEFederal Provider Number
366295
Provider Name
CAMPUS HEALTH & REHAB
Provider Address
196 COLONIAL DRIVE
YOUNGSTOWN, OH 44505
YOUNGSTOWN, OH 44505
Provider Phone Number
(330) 759-8000
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMPUS HEALTHCARE & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10938
Reported LPN Staffing Hours per Resident per Day
1.22734
Reported RN Staffing Hours per Resident per Day
0.60938
Reported Licensed Staffing Hours per Resident per Day
1.83672
Reported Total Nurse Staffing Hours per Resident per Day
3.94610
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08203
Expected CNA Staffing Hours per Resident per Day
2.60840
Expected LPN Staffing Hours per Resident per Day
0.65493
Expected RN Staffing Hours per Resident per Day
1.10651
Expected Total Nurse Staffing Hours per Resident per Day
4.36985
Adjusted CNA Staffing Hours per Resident per Day
1.98428
Adjusted LPN Staffing Hours per Resident per Day
1.55541
Adjusted RN Staffing Hours per Resident per Day
0.41150
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64002
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
60
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
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
123
Cycle 3 Standard Health Survey Date
2011-08-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
123
Total Weighted Health Survey Score
62.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
21418
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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