Ohio Nursing Homes >> Massillon Nursing Homes >> Hanover House

Hanover House - Massillon Nursing Home

General Information

UPDATE
Federal Provider Number
365292
Provider Name
HANOVER HOUSE
Provider Address
435 AVIS AVENUE NW
MASSILLON, OH 44646
Provider Phone Number
(330) 837-1741
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
195
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVIS LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1973-06-08
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01556
Reported LPN Staffing Hours per Resident per Day
0.94296
Reported RN Staffing Hours per Resident per Day
0.60481
Reported Licensed Staffing Hours per Resident per Day
1.54778
Reported Total Nurse Staffing Hours per Resident per Day
3.56333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05926
Expected CNA Staffing Hours per Resident per Day
2.36513
Expected LPN Staffing Hours per Resident per Day
0.66597
Expected RN Staffing Hours per Resident per Day
1.14715
Expected Total Nurse Staffing Hours per Resident per Day
4.17825
Adjusted CNA Staffing Hours per Resident per Day
2.09103
Adjusted LPN Staffing Hours per Resident per Day
1.17522
Adjusted RN Staffing Hours per Resident per Day
0.39394
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43766
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-25
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
16
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
49.33300
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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