Ohio Nursing Homes >> Salem Nursing Homes >> Essex Of Salem I

Essex Of Salem I - Salem Nursing Home

General Information

UPDATE
Federal Provider Number
366096
Provider Name
ESSEX OF SALEM I
Provider Address
2511 BENTLEY DRIVE
SALEM, OH 44460
Provider Phone Number
(330) 337-9503
Provider SSA County
140
Provider County Name
Columbiana
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89589
Reported LPN Staffing Hours per Resident per Day
0.60274
Reported RN Staffing Hours per Resident per Day
0.63219
Reported Licensed Staffing Hours per Resident per Day
1.23493
Reported Total Nurse Staffing Hours per Resident per Day
3.13082
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10753
Expected CNA Staffing Hours per Resident per Day
2.54961
Expected LPN Staffing Hours per Resident per Day
0.76521
Expected RN Staffing Hours per Resident per Day
1.41201
Expected Total Nurse Staffing Hours per Resident per Day
4.72683
Adjusted CNA Staffing Hours per Resident per Day
1.82457
Adjusted LPN Staffing Hours per Resident per Day
0.65378
Adjusted RN Staffing Hours per Resident per Day
0.33454
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66987
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-09-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
111
Cycle 3 Standard Health Survey Date
2011-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
111
Total Weighted Health Survey Score
57.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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