Franklin Plaza Extended Care - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365388
Provider Name
FRANKLIN PLAZA EXTENDED CARE
Provider Address
3600 FRANKLIN BOULEVARD
CLEVELAND, OH 44113
CLEVELAND, OH 44113
Provider Phone Number
2166511600
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
For profit - Corporation
Number of Certified Beds
201
Number of Residents in Certified Beds
185
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANKLIN BOULEVARD NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-10-18
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
3
QM Rating Footnote
Staffing Rating
3
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
2.33622
Reported LPN Staffing Hours per Resident per Day
0.83946
Reported RN Staffing Hours per Resident per Day
0.46108
Reported Licensed Staffing Hours per Resident per Day
1.30054
Reported Total Nurse Staffing Hours per Resident per Day
3.63676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05865
Expected CNA Staffing Hours per Resident per Day
2.12290
Expected LPN Staffing Hours per Resident per Day
0.64991
Expected RN Staffing Hours per Resident per Day
1.08994
Expected Total Nurse Staffing Hours per Resident per Day
3.86274
Adjusted CNA Staffing Hours per Resident per Day
2.70026
Adjusted LPN Staffing Hours per Resident per Day
1.07208
Adjusted RN Staffing Hours per Resident per Day
0.31609
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79508
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
99
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
99
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
66.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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