Essex Of Salem Ii - Salem Nursing Home
General Information
UPDATEFederal Provider Number
366104
Provider Name
ESSEX OF SALEM II
Provider Address
250 CONTINENTAL DRIVE
SALEM, OH 44460
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
86
Number of Residents in Certified Beds
72
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
1997-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.89167
Reported LPN Staffing Hours per Resident per Day
0.84514
Reported RN Staffing Hours per Resident per Day
0.68750
Reported Licensed Staffing Hours per Resident per Day
1.53264
Reported Total Nurse Staffing Hours per Resident per Day
3.42431
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04097
Expected CNA Staffing Hours per Resident per Day
2.51487
Expected LPN Staffing Hours per Resident per Day
0.71504
Expected RN Staffing Hours per Resident per Day
1.23775
Expected Total Nurse Staffing Hours per Resident per Day
4.46766
Adjusted CNA Staffing Hours per Resident per Day
1.84566
Adjusted LPN Staffing Hours per Resident per Day
0.98101
Adjusted RN Staffing Hours per Resident per Day
0.41503
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08955
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-15
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-21
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
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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