Hampton Woods Nursing Center, Inc - Poland Nursing Home
General Information
UPDATEFederal Provider Number
366329
Provider Name
HAMPTON WOODS NURSING CENTER, INC
Provider Address
1525 EAST WESTERN RESERVE ROAD
POLAND, OH 44514
POLAND, OH 44514
Provider Phone Number
(330) 707-1300
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAMPTON WOODS NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-10-17
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11615
Reported LPN Staffing Hours per Resident per Day
1.74692
Reported RN Staffing Hours per Resident per Day
0.31462
Reported Licensed Staffing Hours per Resident per Day
2.06154
Reported Total Nurse Staffing Hours per Resident per Day
4.17769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09923
Expected CNA Staffing Hours per Resident per Day
2.46089
Expected LPN Staffing Hours per Resident per Day
0.66935
Expected RN Staffing Hours per Resident per Day
1.27695
Expected Total Nurse Staffing Hours per Resident per Day
4.40719
Adjusted CNA Staffing Hours per Resident per Day
2.10997
Adjusted LPN Staffing Hours per Resident per Day
2.16620
Adjusted RN Staffing Hours per Resident per Day
0.18410
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82100
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-08-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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