Elisabeth Sev Prentiss Ctr For - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365787
Provider Name
ELISABETH SEV PRENTISS CTR FOR
Provider Address
3525 SCRANTON ROAD
CLEVELAND, OH 44109
CLEVELAND, OH 44109
Provider Phone Number
(216) 957-8090
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
METROHEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1990-03-08
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.95108
Reported LPN Staffing Hours per Resident per Day
0.71835
Reported RN Staffing Hours per Resident per Day
1.14856
Reported Licensed Staffing Hours per Resident per Day
1.86691
Reported Total Nurse Staffing Hours per Resident per Day
4.81799
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16151
Expected CNA Staffing Hours per Resident per Day
2.50581
Expected LPN Staffing Hours per Resident per Day
0.80273
Expected RN Staffing Hours per Resident per Day
1.34212
Expected Total Nurse Staffing Hours per Resident per Day
4.65066
Adjusted CNA Staffing Hours per Resident per Day
2.88971
Adjusted LPN Staffing Hours per Resident per Day
0.74275
Adjusted RN Staffing Hours per Resident per Day
0.63944
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17593
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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