Carington Park - Ashtabula Nursing Home
General Information
UPDATEFederal Provider Number
365286
Provider Name
CARINGTON PARK
Provider Address
2217 WEST AVE
ASHTABULA, OH 44004
ASHTABULA, OH 44004
Provider Phone Number
(440) 964-8446
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHS - LAKE ERIE, INC
Date First Approved to Provide Medicare and Medicaid services
1972-11-06
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.01994
Reported LPN Staffing Hours per Resident per Day
0.79970
Reported RN Staffing Hours per Resident per Day
0.61756
Reported Licensed Staffing Hours per Resident per Day
1.41726
Reported Total Nurse Staffing Hours per Resident per Day
3.43720
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01101
Expected CNA Staffing Hours per Resident per Day
2.37056
Expected LPN Staffing Hours per Resident per Day
0.73143
Expected RN Staffing Hours per Resident per Day
1.21653
Expected Total Nurse Staffing Hours per Resident per Day
4.31852
Adjusted CNA Staffing Hours per Resident per Day
2.09079
Adjusted LPN Staffing Hours per Resident per Day
0.90747
Adjusted RN Staffing Hours per Resident per Day
0.37931
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20828
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.00000
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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