Candlewood Park Healthcare Cen - East Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365353
Provider Name
CANDLEWOOD PARK HEALTHCARE CEN
Provider Address
1835 BELMORE AVE
EAST CLEVELAND, OH 44112
EAST CLEVELAND, OH 44112
Provider Phone Number
(216) 268-3600
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELMORE LEASING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1977-05-16
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
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
1.80000
Reported LPN Staffing Hours per Resident per Day
0.84876
Reported RN Staffing Hours per Resident per Day
0.61818
Reported Licensed Staffing Hours per Resident per Day
1.46694
Reported Total Nurse Staffing Hours per Resident per Day
3.26694
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02231
Expected CNA Staffing Hours per Resident per Day
2.05015
Expected LPN Staffing Hours per Resident per Day
0.65271
Expected RN Staffing Hours per Resident per Day
1.09318
Expected Total Nurse Staffing Hours per Resident per Day
3.79604
Adjusted CNA Staffing Hours per Resident per Day
2.15431
Adjusted LPN Staffing Hours per Resident per Day
1.07931
Adjusted RN Staffing Hours per Resident per Day
0.42253
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46906
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
3
Total Amount of Fines in Dollars
18135
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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