Elms Retirement Village Inc - Wellington Nursing Home
General Information
UPDATEFederal Provider Number
366118
Provider Name
ELMS RETIREMENT VILLAGE INC
Provider Address
136 S MAIN ST
WELLINGTON, OH 44090
WELLINGTON, OH 44090
Provider Phone Number
(440) 647-2414
Provider SSA County
480
Provider County Name
Lorain
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMS RETIREMENT VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-04-03
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.33796
Reported LPN Staffing Hours per Resident per Day
0.87315
Reported RN Staffing Hours per Resident per Day
0.90370
Reported Licensed Staffing Hours per Resident per Day
1.77685
Reported Total Nurse Staffing Hours per Resident per Day
4.11481
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03333
Expected CNA Staffing Hours per Resident per Day
2.58586
Expected LPN Staffing Hours per Resident per Day
0.78084
Expected RN Staffing Hours per Resident per Day
1.23814
Expected Total Nurse Staffing Hours per Resident per Day
4.60483
Adjusted CNA Staffing Hours per Resident per Day
2.21847
Adjusted LPN Staffing Hours per Resident per Day
0.92812
Adjusted RN Staffing Hours per Resident per Day
0.54537
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60195
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-05-23
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
10
Cycle 3 Total Health Score
30
Total Weighted Health Survey Score
15.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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