Lutheran Home At Toledo - Toledo Nursing Home
General Information
UPDATEFederal Provider Number
366188
Provider Name
LUTHERAN HOME AT TOLEDO
Provider Address
131 NORTH WHEELING STREET
TOLEDO, OH 43605
TOLEDO, OH 43605
Provider Phone Number
(419) 693-0751
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOMES SOCIETY, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-02-10
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.30604
Reported LPN Staffing Hours per Resident per Day
0.72912
Reported RN Staffing Hours per Resident per Day
0.59396
Reported Licensed Staffing Hours per Resident per Day
1.32308
Reported Total Nurse Staffing Hours per Resident per Day
3.62912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09505
Expected CNA Staffing Hours per Resident per Day
2.34786
Expected LPN Staffing Hours per Resident per Day
0.69311
Expected RN Staffing Hours per Resident per Day
1.35483
Expected Total Nurse Staffing Hours per Resident per Day
4.39580
Adjusted CNA Staffing Hours per Resident per Day
2.40999
Adjusted LPN Staffing Hours per Resident per Day
0.87312
Adjusted RN Staffing Hours per Resident per Day
0.32757
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32786
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-31
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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