Cedarcreek Health & Rehab - Warren Nursing Home
General Information
UPDATEFederal Provider Number
365034
Provider Name
CEDARCREEK HEALTH & REHAB
Provider Address
4121 TOD AVENUE NW
WARREN, OH 44485
WARREN, OH 44485
Provider Phone Number
(330) 898-4033
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDARCREEK HEALTHCARE & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
1.45652
Reported LPN Staffing Hours per Resident per Day
0.93261
Reported RN Staffing Hours per Resident per Day
0.57826
Reported Licensed Staffing Hours per Resident per Day
1.51087
Reported Total Nurse Staffing Hours per Resident per Day
2.96739
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05109
Expected CNA Staffing Hours per Resident per Day
2.36454
Expected LPN Staffing Hours per Resident per Day
0.69686
Expected RN Staffing Hours per Resident per Day
1.15928
Expected Total Nurse Staffing Hours per Resident per Day
4.22068
Adjusted CNA Staffing Hours per Resident per Day
1.51144
Adjusted LPN Staffing Hours per Resident per Day
1.11080
Adjusted RN Staffing Hours per Resident per Day
0.37271
Adjusted Total Nurse Staffing Hours per Resident per Day
2.83396
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-01-18
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
49.33300
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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