Jefferson Healthcare Center - Jefferson Nursing Home
General Information
UPDATEFederal Provider Number
365638
Provider Name
JEFFERSON HEALTHCARE CENTER
Provider Address
222 E BEECH ST
JEFFERSON, OH 44047
JEFFERSON, OH 44047
Provider Phone Number
(440) 576-0060
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
104
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON MEDICAL ASSOCIATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-10-25
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.97407
Reported LPN Staffing Hours per Resident per Day
0.87160
Reported RN Staffing Hours per Resident per Day
1.07099
Reported Licensed Staffing Hours per Resident per Day
1.94259
Reported Total Nurse Staffing Hours per Resident per Day
4.91666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01296
Expected CNA Staffing Hours per Resident per Day
2.65871
Expected LPN Staffing Hours per Resident per Day
0.77028
Expected RN Staffing Hours per Resident per Day
1.19423
Expected Total Nurse Staffing Hours per Resident per Day
4.62321
Adjusted CNA Staffing Hours per Resident per Day
2.74475
Adjusted LPN Staffing Hours per Resident per Day
0.93917
Adjusted RN Staffing Hours per Resident per Day
0.67009
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28675
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
2014-10-23
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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