Copley Health Center - Copley Nursing Home
General Information
UPDATEFederal Provider Number
365771
Provider Name
COPLEY HEALTH CENTER
Provider Address
155 HERITAGE WOODS DRIVE
COPLEY, OH 44321
COPLEY, OH 44321
Provider Phone Number
(330) 666-0980
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE (OHIO) LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-09
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14130
Reported LPN Staffing Hours per Resident per Day
0.72652
Reported RN Staffing Hours per Resident per Day
0.79261
Reported Licensed Staffing Hours per Resident per Day
1.51913
Reported Total Nurse Staffing Hours per Resident per Day
3.66043
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14348
Expected CNA Staffing Hours per Resident per Day
2.55031
Expected LPN Staffing Hours per Resident per Day
0.77328
Expected RN Staffing Hours per Resident per Day
1.30355
Expected Total Nurse Staffing Hours per Resident per Day
4.62713
Adjusted CNA Staffing Hours per Resident per Day
2.06019
Adjusted LPN Staffing Hours per Resident per Day
0.77981
Adjusted RN Staffing Hours per Resident per Day
0.45433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18876
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
12
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
95810
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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