Greenbriar Center - Boardman Nursing Home
General Information
UPDATEFederal Provider Number
365853
Provider Name
GREENBRIAR CENTER
Provider Address
8064 SOUTH AVENUE
BOARDMAN, OH 44512
BOARDMAN, OH 44512
Provider Phone Number
3307263700
Provider SSA County
510
Provider County Name
Mahoning
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH I LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92258
Reported LPN Staffing Hours per Resident per Day
0.57312
Reported RN Staffing Hours per Resident per Day
1.00591
Reported Licensed Staffing Hours per Resident per Day
1.57903
Reported Total Nurse Staffing Hours per Resident per Day
3.50161
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08387
Expected CNA Staffing Hours per Resident per Day
2.62528
Expected LPN Staffing Hours per Resident per Day
0.71458
Expected RN Staffing Hours per Resident per Day
1.30010
Expected Total Nurse Staffing Hours per Resident per Day
4.63997
Adjusted CNA Staffing Hours per Resident per Day
1.79693
Adjusted LPN Staffing Hours per Resident per Day
0.66569
Adjusted RN Staffing Hours per Resident per Day
0.57812
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04197
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
20
Cycle 1 Health Deficiency Score
259
Cycle 1 Standard Survey Health Date
2014-08-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
259
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-09
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
29
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
173.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
35
Number of Fines
2
Total Amount of Fines in Dollars
39910
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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