Laurels Of Massillon, The - Massillon Nursing Home
General Information
UPDATEFederal Provider Number
366078
Provider Name
LAURELS OF MASSILLON, THE
Provider Address
2000 SHERMAN CIRCLE NE
MASSILLON, OH 44646
MASSILLON, OH 44646
Provider Phone Number
(330) 830-9988
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRPORT ENTERPRISES, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-08-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.73889
Reported LPN Staffing Hours per Resident per Day
0.90648
Reported RN Staffing Hours per Resident per Day
0.96343
Reported Licensed Staffing Hours per Resident per Day
1.86991
Reported Total Nurse Staffing Hours per Resident per Day
4.60880
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11574
Expected CNA Staffing Hours per Resident per Day
2.46286
Expected LPN Staffing Hours per Resident per Day
0.71945
Expected RN Staffing Hours per Resident per Day
1.52277
Expected Total Nurse Staffing Hours per Resident per Day
4.70508
Adjusted CNA Staffing Hours per Resident per Day
2.72870
Adjusted LPN Staffing Hours per Resident per Day
1.04578
Adjusted RN Staffing Hours per Resident per Day
0.47274
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94841
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
99
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
99
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
70.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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