Homestead I - Painesville Nursing Home
General Information
UPDATEFederal Provider Number
365492
Provider Name
HOMESTEAD I
Provider Address
164 LIBERTY ST
PAINESVILLE, OH 44077
PAINESVILLE, OH 44077
Provider Phone Number
(440) 357-6181
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMESTEAD I HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1980-05-08
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.00333
Reported LPN Staffing Hours per Resident per Day
0.68556
Reported RN Staffing Hours per Resident per Day
0.80667
Reported Licensed Staffing Hours per Resident per Day
1.49222
Reported Total Nurse Staffing Hours per Resident per Day
3.49556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.30643
Expected LPN Staffing Hours per Resident per Day
0.69023
Expected RN Staffing Hours per Resident per Day
1.38402
Expected Total Nurse Staffing Hours per Resident per Day
4.38068
Adjusted CNA Staffing Hours per Resident per Day
2.13125
Adjusted LPN Staffing Hours per Resident per Day
0.82439
Adjusted RN Staffing Hours per Resident per Day
0.43550
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21645
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-23
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
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
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
2012-06-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
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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