Cedar Village - Mason Nursing Home
General Information
UPDATEFederal Provider Number
366120
Provider Name
CEDAR VILLAGE
Provider Address
5467 CEDAR VILLAGE DRIVE
MASON, OH 45040
MASON, OH 45040
Provider Phone Number
(513) 754-3100
Provider SSA County
840
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEWISH HOME OF CINCINNATI, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.59660
Reported LPN Staffing Hours per Resident per Day
0.57959
Reported RN Staffing Hours per Resident per Day
1.02891
Reported Licensed Staffing Hours per Resident per Day
1.60850
Reported Total Nurse Staffing Hours per Resident per Day
4.20510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21190
Expected CNA Staffing Hours per Resident per Day
2.53402
Expected LPN Staffing Hours per Resident per Day
0.77544
Expected RN Staffing Hours per Resident per Day
1.37361
Expected Total Nurse Staffing Hours per Resident per Day
4.68307
Adjusted CNA Staffing Hours per Resident per Day
2.51429
Adjusted LPN Staffing Hours per Resident per Day
0.62037
Adjusted RN Staffing Hours per Resident per Day
0.55969
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61949
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
28
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.66700
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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