Jackson Ridge Rehabilitation And Care Center - Canal Fulton Nursing Home
General Information
UPDATEFederal Provider Number
366271
Provider Name
JACKSON RIDGE REHABILITATION AND CARE CENTER
Provider Address
7055 HIGH MILL AVENUE NW
CANAL FULTON, OH 44614
CANAL FULTON, OH 44614
Provider Phone Number
(330) 854-4545
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GASLITE LEASING LLC
Date First Approved to Provide Medicare and Medicaid services
2003-05-13
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
2
Health Inspection Rating Footnote
QM Rating
2
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
3.08333
Reported LPN Staffing Hours per Resident per Day
0.66204
Reported RN Staffing Hours per Resident per Day
0.75556
Reported Licensed Staffing Hours per Resident per Day
1.41759
Reported Total Nurse Staffing Hours per Resident per Day
4.50093
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02685
Expected CNA Staffing Hours per Resident per Day
2.66640
Expected LPN Staffing Hours per Resident per Day
0.80168
Expected RN Staffing Hours per Resident per Day
1.33331
Expected Total Nurse Staffing Hours per Resident per Day
4.80140
Adjusted CNA Staffing Hours per Resident per Day
2.83737
Adjusted LPN Staffing Hours per Resident per Day
0.68543
Adjusted RN Staffing Hours per Resident per Day
0.42342
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77865
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
16
Cycle 3 Standard Health Survey Date
2011-08-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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