Hillside Plaza - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365006
Provider Name
HILLSIDE PLAZA
Provider Address
18220 EUCLID AVE
CLEVELAND, OH 44112
CLEVELAND, OH 44112
Provider Phone Number
(216) 486-6300
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EUCLID HILL HEALTH INVESTORS, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.22419
Reported LPN Staffing Hours per Resident per Day
0.98387
Reported RN Staffing Hours per Resident per Day
0.94839
Reported Licensed Staffing Hours per Resident per Day
1.93226
Reported Total Nurse Staffing Hours per Resident per Day
4.15645
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00968
Expected CNA Staffing Hours per Resident per Day
2.44551
Expected LPN Staffing Hours per Resident per Day
0.64742
Expected RN Staffing Hours per Resident per Day
1.12686
Expected Total Nurse Staffing Hours per Resident per Day
4.21979
Adjusted CNA Staffing Hours per Resident per Day
2.23164
Adjusted LPN Staffing Hours per Resident per Day
1.26134
Adjusted RN Staffing Hours per Resident per Day
0.62886
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97039
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
19.33300
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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