Hanna House Skilled Nursing Ce - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
366049
Provider Name
HANNA HOUSE SKILLED NURSING CE
Provider Address
11100 EUCLID AVE
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Provider Phone Number
(216) 844-1262
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
23
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1996-03-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
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
2.25652
Reported LPN Staffing Hours per Resident per Day
0.18261
Reported RN Staffing Hours per Resident per Day
5.68043
Reported Licensed Staffing Hours per Resident per Day
5.86304
Reported Total Nurse Staffing Hours per Resident per Day
8.11956
Reported Physical Therapist Staffing Hours per Resident Per Day
1.08478
Expected CNA Staffing Hours per Resident per Day
2.40227
Expected LPN Staffing Hours per Resident per Day
0.92999
Expected RN Staffing Hours per Resident per Day
2.11324
Expected Total Nurse Staffing Hours per Resident per Day
5.44549
Adjusted CNA Staffing Hours per Resident per Day
2.30483
Adjusted LPN Staffing Hours per Resident per Day
0.16298
Adjusted RN Staffing Hours per Resident per Day
2.00849
Adjusted Total Nurse Staffing Hours per Resident per Day
6.01032
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
2014-06-06
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
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
2013-02-27
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
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
2011-11-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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