Humility House - Austintown Nursing Home
General Information
UPDATEFederal Provider Number
366186
Provider Name
HUMILITY HOUSE
Provider Address
755 OHLTOWN ROAD
AUSTINTOWN, OH 44515
AUSTINTOWN, OH 44515
Provider Phone Number
(330) 505-0144
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HUMILITY HOUSE
Date First Approved to Provide Medicare and Medicaid services
1999-09-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.37929
Reported LPN Staffing Hours per Resident per Day
1.18786
Reported RN Staffing Hours per Resident per Day
0.68786
Reported Licensed Staffing Hours per Resident per Day
1.87571
Reported Total Nurse Staffing Hours per Resident per Day
4.25501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.64803
Expected LPN Staffing Hours per Resident per Day
0.69438
Expected RN Staffing Hours per Resident per Day
1.14369
Expected Total Nurse Staffing Hours per Resident per Day
4.48610
Adjusted CNA Staffing Hours per Resident per Day
2.20468
Adjusted LPN Staffing Hours per Resident per Day
1.41985
Adjusted RN Staffing Hours per Resident per Day
0.44939
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82326
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
12
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-02-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.00000
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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