Heartland - Holly Glen - Toledo Nursing Home
General Information
UPDATEFederal Provider Number
365849
Provider Name
HEARTLAND - HOLLY GLEN
Provider Address
4293 MONROE ST
TOLEDO, OH 43606
TOLEDO, OH 43606
Provider Phone Number
(419) 474-6021
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-29
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
1.95058
Reported LPN Staffing Hours per Resident per Day
0.80814
Reported RN Staffing Hours per Resident per Day
0.71860
Reported Licensed Staffing Hours per Resident per Day
1.52674
Reported Total Nurse Staffing Hours per Resident per Day
3.47732
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12384
Expected CNA Staffing Hours per Resident per Day
2.36856
Expected LPN Staffing Hours per Resident per Day
0.64052
Expected RN Staffing Hours per Resident per Day
1.19348
Expected Total Nurse Staffing Hours per Resident per Day
4.20256
Adjusted CNA Staffing Hours per Resident per Day
2.02070
Adjusted LPN Staffing Hours per Resident per Day
1.04721
Adjusted RN Staffing Hours per Resident per Day
0.44989
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33529
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-10-03
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.66700
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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