Liberty West Nursing Center Of Toledo, Inc - Toledo Nursing Home
General Information
UPDATEFederal Provider Number
365886
Provider Name
LIBERTY WEST NURSING CENTER OF TOLEDO, INC
Provider Address
2051 COLLINGWOOD BLVD
TOLEDO, OH 43620
TOLEDO, OH 43620
Provider Phone Number
(419) 243-5191
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY WEST NURSING CENTER OF TOLEDO INC
Date First Approved to Provide Medicare and Medicaid services
1992-08-07
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.56907
Reported LPN Staffing Hours per Resident per Day
0.57423
Reported RN Staffing Hours per Resident per Day
0.39175
Reported Licensed Staffing Hours per Resident per Day
0.96598
Reported Total Nurse Staffing Hours per Resident per Day
2.53505
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02010
Expected CNA Staffing Hours per Resident per Day
2.14985
Expected LPN Staffing Hours per Resident per Day
0.64165
Expected RN Staffing Hours per Resident per Day
1.46274
Expected Total Nurse Staffing Hours per Resident per Day
4.25424
Adjusted CNA Staffing Hours per Resident per Day
1.79084
Adjusted LPN Staffing Hours per Resident per Day
0.74279
Adjusted RN Staffing Hours per Resident per Day
0.20011
Adjusted Total Nurse Staffing Hours per Resident per Day
2.40197
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
127
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
127
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
95
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
95
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
11
Number of Fines
2
Total Amount of Fines in Dollars
109363
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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