Community Skilled Health Care - Warren Nursing Home

General Information

UPDATE
Federal Provider Number
365412
Provider Name
COMMUNITY SKILLED HEALTH CARE
Provider Address
1320 MAHONING AVE NW
WARREN, OH 44483
Provider Phone Number
(330) 373-1160
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
125
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY SKILLED NURSING CENTRE
Date First Approved to Provide Medicare and Medicaid services
1979-04-02
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16681
Reported LPN Staffing Hours per Resident per Day
1.28190
Reported RN Staffing Hours per Resident per Day
0.41853
Reported Licensed Staffing Hours per Resident per Day
1.70043
Reported Total Nurse Staffing Hours per Resident per Day
3.86724
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05560
Expected CNA Staffing Hours per Resident per Day
2.57358
Expected LPN Staffing Hours per Resident per Day
0.68872
Expected RN Staffing Hours per Resident per Day
1.20058
Expected Total Nurse Staffing Hours per Resident per Day
4.46288
Adjusted CNA Staffing Hours per Resident per Day
2.06588
Adjusted LPN Staffing Hours per Resident per Day
1.54485
Adjusted RN Staffing Hours per Resident per Day
0.26048
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49291
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-19
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
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
21938
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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