Goerlich Center - Sylvania Nursing Home
General Information
UPDATEFederal Provider Number
366317
Provider Name
GOERLICH CENTER
Provider Address
5320 HARROUN ROAD
SYLVANIA, OH 43560
SYLVANIA, OH 43560
Provider Phone Number
(419) 824-1250
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROMEDICA CONTINUING CARE SERVICES CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2006-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.25000
Reported LPN Staffing Hours per Resident per Day
0.66140
Reported RN Staffing Hours per Resident per Day
1.12632
Reported Licensed Staffing Hours per Resident per Day
1.78772
Reported Total Nurse Staffing Hours per Resident per Day
5.03772
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02105
Expected CNA Staffing Hours per Resident per Day
2.59977
Expected LPN Staffing Hours per Resident per Day
0.63269
Expected RN Staffing Hours per Resident per Day
1.12713
Expected Total Nurse Staffing Hours per Resident per Day
4.35959
Adjusted CNA Staffing Hours per Resident per Day
3.06740
Adjusted LPN Staffing Hours per Resident per Day
0.86767
Adjusted RN Staffing Hours per Resident per Day
0.74666
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65790
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
0
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-01-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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