Keystone Pointe Health And Rehabilitation - Lagrange Nursing Home
General Information
UPDATEFederal Provider Number
366372
Provider Name
KEYSTONE POINTE HEALTH AND REHABILITATION
Provider Address
383 OPPORTUNITY WAY
LAGRANGE, OH 44050
LAGRANGE, OH 44050
Provider Phone Number
(440) 355-4616
Provider SSA County
480
Provider County Name
Lorain
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
121
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAGRANGE NURSING & REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-12-24
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.15270
Reported LPN Staffing Hours per Resident per Day
0.98919
Reported RN Staffing Hours per Resident per Day
0.88198
Reported Licensed Staffing Hours per Resident per Day
1.87117
Reported Total Nurse Staffing Hours per Resident per Day
4.02387
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26577
Expected CNA Staffing Hours per Resident per Day
2.43538
Expected LPN Staffing Hours per Resident per Day
0.78278
Expected RN Staffing Hours per Resident per Day
1.37615
Expected Total Nurse Staffing Hours per Resident per Day
4.59431
Adjusted CNA Staffing Hours per Resident per Day
2.16889
Adjusted LPN Staffing Hours per Resident per Day
1.04887
Adjusted RN Staffing Hours per Resident per Day
0.47888
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53042
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
10.00000
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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