Hospitality House - Massillon Nursing Home

General Information

UPDATE
Federal Provider Number
366294
Provider Name
HOSPITALITY HOUSE
Provider Address
205 ROHR AVENUE NW
MASSILLON, OH 44646
Provider Phone Number
(330) 837-2100
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHILDS INVESTMENT CO.
Date First Approved to Provide Medicare and Medicaid services
2004-05-25
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
4
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
2.63704
Reported LPN Staffing Hours per Resident per Day
1.06296
Reported RN Staffing Hours per Resident per Day
0.87778
Reported Licensed Staffing Hours per Resident per Day
1.94074
Reported Total Nurse Staffing Hours per Resident per Day
4.57778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02593
Expected CNA Staffing Hours per Resident per Day
2.33902
Expected LPN Staffing Hours per Resident per Day
0.62439
Expected RN Staffing Hours per Resident per Day
1.20830
Expected Total Nurse Staffing Hours per Resident per Day
4.17171
Adjusted CNA Staffing Hours per Resident per Day
2.76633
Adjusted LPN Staffing Hours per Resident per Day
1.41298
Adjusted RN Staffing Hours per Resident per Day
0.54281
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42326
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-30
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
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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