Crown Center At Laurel Lake - Hudson Nursing Home
General Information
UPDATEFederal Provider Number
365793
Provider Name
CROWN CENTER AT LAUREL LAKE
Provider Address
200 LAUREL LAKE DR
HUDSON, OH 44236
HUDSON, OH 44236
Provider Phone Number
(330) 650-0681
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
60
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LAUREL LAKE RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-05-04
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.57667
Reported LPN Staffing Hours per Resident per Day
1.37667
Reported RN Staffing Hours per Resident per Day
0.67167
Reported Licensed Staffing Hours per Resident per Day
2.04833
Reported Total Nurse Staffing Hours per Resident per Day
4.62501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12833
Expected CNA Staffing Hours per Resident per Day
2.41967
Expected LPN Staffing Hours per Resident per Day
0.61385
Expected RN Staffing Hours per Resident per Day
1.04352
Expected Total Nurse Staffing Hours per Resident per Day
4.07704
Adjusted CNA Staffing Hours per Resident per Day
2.61290
Adjusted LPN Staffing Hours per Resident per Day
1.86142
Adjusted RN Staffing Hours per Resident per Day
0.48094
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57266
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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