Eliza Bryant Center - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
366101
Provider Name
ELIZA BRYANT CENTER
Provider Address
7201 WADE PARK
CLEVELAND, OH 44103
CLEVELAND, OH 44103
Provider Phone Number
(216) 361-6141
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
175
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELIZA BRYANT VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1996-12-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.37750
Reported LPN Staffing Hours per Resident per Day
1.07906
Reported RN Staffing Hours per Resident per Day
0.64406
Reported Licensed Staffing Hours per Resident per Day
1.72313
Reported Total Nurse Staffing Hours per Resident per Day
4.10062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03156
Expected CNA Staffing Hours per Resident per Day
2.66884
Expected LPN Staffing Hours per Resident per Day
0.73401
Expected RN Staffing Hours per Resident per Day
1.21301
Expected Total Nurse Staffing Hours per Resident per Day
4.61586
Adjusted CNA Staffing Hours per Resident per Day
2.18584
Adjusted LPN Staffing Hours per Resident per Day
1.22017
Adjusted RN Staffing Hours per Resident per Day
0.39673
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58096
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
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
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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