Life Care Center Of Medina - Medina Nursing Home
General Information
UPDATEFederal Provider Number
365085
Provider Name
LIFE CARE CENTER OF MEDINA
Provider Address
2400 COLUMBIA RD
MEDINA, OH 44256
MEDINA, OH 44256
Provider Phone Number
(330) 483-3131
Provider SSA County
530
Provider County Name
Medina
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDINA OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.23622
Reported LPN Staffing Hours per Resident per Day
0.95612
Reported RN Staffing Hours per Resident per Day
0.89082
Reported Licensed Staffing Hours per Resident per Day
1.84694
Reported Total Nurse Staffing Hours per Resident per Day
4.08316
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10510
Expected CNA Staffing Hours per Resident per Day
2.48558
Expected LPN Staffing Hours per Resident per Day
0.71589
Expected RN Staffing Hours per Resident per Day
1.23532
Expected Total Nurse Staffing Hours per Resident per Day
4.43680
Adjusted CNA Staffing Hours per Resident per Day
2.20754
Adjusted LPN Staffing Hours per Resident per Day
1.10852
Adjusted RN Staffing Hours per Resident per Day
0.53882
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70961
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
2015-01-08
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
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
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
13.33300
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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