Concordia At Sumner - Copley Nursing Home

General Information

UPDATE
Federal Provider Number
366289
Provider Name
CONCORDIA AT SUMNER
Provider Address
970 SUMNER PARKWAY
COPLEY, OH 44321
Provider Phone Number
3306641000
Provider SSA County
780
Provider County Name
Summit
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONCORDIA OF OHIO
Date First Approved to Provide Medicare and Medicaid services
2004-01-10
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78636
Reported LPN Staffing Hours per Resident per Day
1.18977
Reported RN Staffing Hours per Resident per Day
1.15795
Reported Licensed Staffing Hours per Resident per Day
2.34773
Reported Total Nurse Staffing Hours per Resident per Day
5.13408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12159
Expected CNA Staffing Hours per Resident per Day
2.60941
Expected LPN Staffing Hours per Resident per Day
0.70582
Expected RN Staffing Hours per Resident per Day
1.17857
Expected Total Nurse Staffing Hours per Resident per Day
4.49380
Adjusted CNA Staffing Hours per Resident per Day
2.62009
Adjusted LPN Staffing Hours per Resident per Day
1.39909
Adjusted RN Staffing Hours per Resident per Day
0.73413
Adjusted Total Nurse Staffing Hours per Resident per Day
4.60523
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
52
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
26
Cycle 1 Total Health Score
78
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
0
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
16
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
41.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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