Cedarwood Plaza - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365033
Provider Name
CEDARWOOD PLAZA
Provider Address
12504 CEDAR ROAD
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Provider Phone Number
(216) 371-3600
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C A S HEALTH INVESTORS INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
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
2.02745
Reported LPN Staffing Hours per Resident per Day
0.94265
Reported RN Staffing Hours per Resident per Day
0.61569
Reported Licensed Staffing Hours per Resident per Day
1.55833
Reported Total Nurse Staffing Hours per Resident per Day
3.58579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04706
Expected CNA Staffing Hours per Resident per Day
2.47702
Expected LPN Staffing Hours per Resident per Day
0.78552
Expected RN Staffing Hours per Resident per Day
1.34955
Expected Total Nurse Staffing Hours per Resident per Day
4.61210
Adjusted CNA Staffing Hours per Resident per Day
2.00836
Adjusted LPN Staffing Hours per Resident per Day
0.99602
Adjusted RN Staffing Hours per Resident per Day
0.34089
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13392
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-09
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
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
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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