Judson Park - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365870
Provider Name
JUDSON PARK
Provider Address
2181 AMBLESIDE RD
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Provider Phone Number
(216) 721-1234
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JUDSON
Date First Approved to Provide Medicare and Medicaid services
1992-03-13
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
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
2.91346
Reported LPN Staffing Hours per Resident per Day
1.28125
Reported RN Staffing Hours per Resident per Day
0.90048
Reported Licensed Staffing Hours per Resident per Day
2.18173
Reported Total Nurse Staffing Hours per Resident per Day
5.09519
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12163
Expected CNA Staffing Hours per Resident per Day
2.65506
Expected LPN Staffing Hours per Resident per Day
0.70693
Expected RN Staffing Hours per Resident per Day
1.14698
Expected Total Nurse Staffing Hours per Resident per Day
4.50897
Adjusted CNA Staffing Hours per Resident per Day
2.69250
Adjusted LPN Staffing Hours per Resident per Day
1.50431
Adjusted RN Staffing Hours per Resident per Day
0.58662
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55496
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
2014-08-07
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
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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