Enniscourt Nursing Care - Lakewood Nursing Home
General Information
UPDATEFederal Provider Number
366266
Provider Name
ENNISCOURT NURSING CARE
Provider Address
13315 DETROIT AVE
LAKEWOOD, OH 44107
LAKEWOOD, OH 44107
Provider Phone Number
(216) 226-3858
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEWOOD HEALTHCARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-05-15
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.20938
Reported LPN Staffing Hours per Resident per Day
0.49583
Reported RN Staffing Hours per Resident per Day
1.01250
Reported Licensed Staffing Hours per Resident per Day
1.50833
Reported Total Nurse Staffing Hours per Resident per Day
3.71771
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16875
Expected CNA Staffing Hours per Resident per Day
2.55321
Expected LPN Staffing Hours per Resident per Day
0.75449
Expected RN Staffing Hours per Resident per Day
1.33289
Expected Total Nurse Staffing Hours per Resident per Day
4.64059
Adjusted CNA Staffing Hours per Resident per Day
2.12327
Adjusted LPN Staffing Hours per Resident per Day
0.54545
Adjusted RN Staffing Hours per Resident per Day
0.56760
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22927
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
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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