Lutheran Home - Westlake Nursing Home
General Information
UPDATEFederal Provider Number
365020
Provider Name
LUTHERAN HOME
Provider Address
2116 DOVER CENTER RD
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Provider Phone Number
4408710090
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
Non profit - Church related
Number of Certified Beds
166
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME
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
3
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
3.61444
Reported LPN Staffing Hours per Resident per Day
1.90074
Reported RN Staffing Hours per Resident per Day
0.57963
Reported Licensed Staffing Hours per Resident per Day
2.48037
Reported Total Nurse Staffing Hours per Resident per Day
6.09481
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04407
Expected CNA Staffing Hours per Resident per Day
2.54790
Expected LPN Staffing Hours per Resident per Day
0.66499
Expected RN Staffing Hours per Resident per Day
1.17722
Expected Total Nurse Staffing Hours per Resident per Day
4.39011
Adjusted CNA Staffing Hours per Resident per Day
3.48081
Adjusted LPN Staffing Hours per Resident per Day
2.37240
Adjusted RN Staffing Hours per Resident per Day
0.36790
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59612
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
2014-05-08
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-10-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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