Canton Christian Home - Canton Nursing Home
General Information
UPDATEFederal Provider Number
366300
Provider Name
CANTON CHRISTIAN HOME
Provider Address
2550 CLEVELAND AVENUE NW
CANTON, OH 44709
CANTON, OH 44709
Provider Phone Number
(330) 456-0004
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
75
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CANTON CHRISTIAN HOME
Date First Approved to Provide Medicare and Medicaid services
2004-09-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.06667
Reported LPN Staffing Hours per Resident per Day
1.26667
Reported RN Staffing Hours per Resident per Day
0.74467
Reported Licensed Staffing Hours per Resident per Day
2.01133
Reported Total Nurse Staffing Hours per Resident per Day
5.07801
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07600
Expected CNA Staffing Hours per Resident per Day
2.69124
Expected LPN Staffing Hours per Resident per Day
0.64184
Expected RN Staffing Hours per Resident per Day
1.01920
Expected Total Nurse Staffing Hours per Resident per Day
4.35227
Adjusted CNA Staffing Hours per Resident per Day
2.79599
Adjusted LPN Staffing Hours per Resident per Day
1.63801
Adjusted RN Staffing Hours per Resident per Day
0.54594
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70305
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-11-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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