Heather Knoll Retirement Village - Tallmadge Nursing Home
General Information
UPDATEFederal Provider Number
365739
Provider Name
HEATHER KNOLL RETIREMENT VILLAGE
Provider Address
1134 NORTH AVE
TALLMADGE, OH 44278
TALLMADGE, OH 44278
Provider Phone Number
(330) 688-8600
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEATHER KNOLL RETIREMENT VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1989-05-22
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07500
Reported LPN Staffing Hours per Resident per Day
1.13026
Reported RN Staffing Hours per Resident per Day
0.98355
Reported Licensed Staffing Hours per Resident per Day
2.11382
Reported Total Nurse Staffing Hours per Resident per Day
4.18881
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10263
Expected CNA Staffing Hours per Resident per Day
2.56079
Expected LPN Staffing Hours per Resident per Day
0.77234
Expected RN Staffing Hours per Resident per Day
1.41889
Expected Total Nurse Staffing Hours per Resident per Day
4.75202
Adjusted CNA Staffing Hours per Resident per Day
1.98822
Adjusted LPN Staffing Hours per Resident per Day
1.21464
Adjusted RN Staffing Hours per Resident per Day
0.51795
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55315
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
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
80
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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