Larchwood Village Retirement Community - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
366359
Provider Name
LARCHWOOD VILLAGE RETIREMENT COMMUNITY
Provider Address
4110 ROCKY RIVER DRIVE
CLEVELAND, OH 44135
CLEVELAND, OH 44135
Provider Phone Number
(216) 941-6100
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LARCHWOOD HEALTH GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
2008-01-23
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05658
Reported LPN Staffing Hours per Resident per Day
0.71711
Reported RN Staffing Hours per Resident per Day
0.60197
Reported Licensed Staffing Hours per Resident per Day
1.31908
Reported Total Nurse Staffing Hours per Resident per Day
3.37566
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01118
Expected CNA Staffing Hours per Resident per Day
2.28582
Expected LPN Staffing Hours per Resident per Day
0.71608
Expected RN Staffing Hours per Resident per Day
1.38550
Expected Total Nurse Staffing Hours per Resident per Day
4.38740
Adjusted CNA Staffing Hours per Resident per Day
2.20763
Adjusted LPN Staffing Hours per Resident per Day
0.83120
Adjusted RN Staffing Hours per Resident per Day
0.32464
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10137
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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