Geneva Village Retirement Community, Ltd - Geneva Nursing Home
General Information
UPDATEFederal Provider Number
366326
Provider Name
GENEVA VILLAGE RETIREMENT COMMUNITY, LTD
Provider Address
1140 SOUTH BROADWAY
GENEVA, OH 44041
GENEVA, OH 44041
Provider Phone Number
(440) 466-5809
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GENEVA VILLAGE RETIREMENT COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
2006-07-14
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48065
Reported LPN Staffing Hours per Resident per Day
0.70968
Reported RN Staffing Hours per Resident per Day
0.65403
Reported Licensed Staffing Hours per Resident per Day
1.36371
Reported Total Nurse Staffing Hours per Resident per Day
3.84436
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03790
Expected CNA Staffing Hours per Resident per Day
2.51149
Expected LPN Staffing Hours per Resident per Day
0.70699
Expected RN Staffing Hours per Resident per Day
1.29236
Expected Total Nurse Staffing Hours per Resident per Day
4.51084
Adjusted CNA Staffing Hours per Resident per Day
2.42357
Adjusted LPN Staffing Hours per Resident per Day
0.83316
Adjusted RN Staffing Hours per Resident per Day
0.37814
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43533
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-17
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
2011-09-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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