Circle Of Care - Salem Nursing Home

General Information

UPDATE
Federal Provider Number
365977
Provider Name
CIRCLE OF CARE
Provider Address
1985 EAST PERSHING STREET
SALEM, OH 44460
Provider Phone Number
3303321588
Provider SSA County
140
Provider County Name
Columbiana
Ownership Type
For profit - Partnership
Number of Certified Beds
75
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEM HEALTHCARE AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-07
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
4
QM Rating Footnote
Staffing Rating
3
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
2.05769
Reported LPN Staffing Hours per Resident per Day
1.61795
Reported RN Staffing Hours per Resident per Day
0.52692
Reported Licensed Staffing Hours per Resident per Day
2.14487
Reported Total Nurse Staffing Hours per Resident per Day
4.20256
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01410
Expected CNA Staffing Hours per Resident per Day
2.43725
Expected LPN Staffing Hours per Resident per Day
0.73486
Expected RN Staffing Hours per Resident per Day
1.25028
Expected Total Nurse Staffing Hours per Resident per Day
4.42239
Adjusted CNA Staffing Hours per Resident per Day
2.07158
Adjusted LPN Staffing Hours per Resident per Day
1.82742
Adjusted RN Staffing Hours per Resident per Day
0.31490
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83053
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
6763
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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