Cityview Nursing & Rehab Ctr - Cleveland Nursing Home

General Information

UPDATE
Federal Provider Number
365879
Provider Name
CITYVIEW NURSING & REHAB CTR
Provider Address
6606 CARNEGIE AVE
CLEVELAND, OH 44103
Provider Phone Number
2163611414
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY VIEW NURSING & REHAB., LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-13
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.86953
Reported LPN Staffing Hours per Resident per Day
0.81211
Reported RN Staffing Hours per Resident per Day
0.58125
Reported Licensed Staffing Hours per Resident per Day
1.39336
Reported Total Nurse Staffing Hours per Resident per Day
3.26289
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03633
Expected CNA Staffing Hours per Resident per Day
2.14168
Expected LPN Staffing Hours per Resident per Day
0.63451
Expected RN Staffing Hours per Resident per Day
1.15775
Expected Total Nurse Staffing Hours per Resident per Day
3.93395
Adjusted CNA Staffing Hours per Resident per Day
2.14190
Adjusted LPN Staffing Hours per Resident per Day
1.06231
Adjusted RN Staffing Hours per Resident per Day
0.37513
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34331
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
123
Cycle 2 Standard Health Survey Date
2012-10-26
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-07-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
70.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
12058
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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