Cardinal Woods Skilled Nursing & Rehab Ctr - Madison Nursing Home
General Information
UPDATEFederal Provider Number
365658
Provider Name
CARDINAL WOODS SKILLED NURSING & REHAB CTR
Provider Address
6831 CHAPEL ROAD
MADISON, OH 44057
MADISON, OH 44057
Provider Phone Number
(440) 428-5103
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN EAGLE HEALTHCARE SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1985-06-05
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
4
QM Rating Footnote
Staffing Rating
1
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
2.18798
Reported LPN Staffing Hours per Resident per Day
0.77404
Reported RN Staffing Hours per Resident per Day
0.60192
Reported Licensed Staffing Hours per Resident per Day
1.37596
Reported Total Nurse Staffing Hours per Resident per Day
3.56394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04135
Expected CNA Staffing Hours per Resident per Day
2.38063
Expected LPN Staffing Hours per Resident per Day
0.73897
Expected RN Staffing Hours per Resident per Day
1.36394
Expected Total Nurse Staffing Hours per Resident per Day
4.48355
Adjusted CNA Staffing Hours per Resident per Day
2.25513
Adjusted LPN Staffing Hours per Resident per Day
0.86939
Adjusted RN Staffing Hours per Resident per Day
0.32975
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20413
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
140
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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