Lakewood Senior Health Campus - Lakewood Nursing Home
General Information
UPDATEFederal Provider Number
365267
Provider Name
LAKEWOOD SENIOR HEALTH CAMPUS
Provider Address
13900 DETROIT AVE
LAKEWOOD, OH 44107
LAKEWOOD, OH 44107
Provider Phone Number
(216) 228-7650
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEWOOD SENIOR CAMPUS, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-08-06
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
3
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
2.69464
Reported LPN Staffing Hours per Resident per Day
0.30848
Reported RN Staffing Hours per Resident per Day
1.20179
Reported Licensed Staffing Hours per Resident per Day
1.51027
Reported Total Nurse Staffing Hours per Resident per Day
4.20491
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10313
Expected CNA Staffing Hours per Resident per Day
2.61792
Expected LPN Staffing Hours per Resident per Day
0.73202
Expected RN Staffing Hours per Resident per Day
1.27310
Expected Total Nurse Staffing Hours per Resident per Day
4.62304
Adjusted CNA Staffing Hours per Resident per Day
2.52561
Adjusted LPN Staffing Hours per Resident per Day
0.34977
Adjusted RN Staffing Hours per Resident per Day
0.70535
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66632
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-07-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
25.33300
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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