Kindred Hospital Cleveland Subacute Unit - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
366337
Provider Name
KINDRED HOSPITAL CLEVELAND SUBACUTE UNIT
Provider Address
11900 FAIRHILL ROAD
CLEVELAND, OH 44120
CLEVELAND, OH 44120
Provider Phone Number
(216) 983-8030
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
32
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SPECIALTY HOSPITAL OF CLEVELAND, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-01-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77031
Reported LPN Staffing Hours per Resident per Day
0.43281
Reported RN Staffing Hours per Resident per Day
3.12813
Reported Licensed Staffing Hours per Resident per Day
3.56094
Reported Total Nurse Staffing Hours per Resident per Day
6.33125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27969
Expected CNA Staffing Hours per Resident per Day
2.37779
Expected LPN Staffing Hours per Resident per Day
0.78171
Expected RN Staffing Hours per Resident per Day
1.67270
Expected Total Nurse Staffing Hours per Resident per Day
4.83220
Adjusted CNA Staffing Hours per Resident per Day
2.85875
Adjusted LPN Staffing Hours per Resident per Day
0.45954
Adjusted RN Staffing Hours per Resident per Day
1.39735
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28137
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
2015-01-23
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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