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Madison Health Care - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
365306
Provider Name
MADISON HEALTH CARE
Provider Address
7600 S RIDGE RD
MADISON, OH 44057
Provider Phone Number
4404281492
Provider SSA County
440
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMBASSY MADISON MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-07-31
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.20573
Reported LPN Staffing Hours per Resident per Day
1.16094
Reported RN Staffing Hours per Resident per Day
0.47604
Reported Licensed Staffing Hours per Resident per Day
1.63698
Reported Total Nurse Staffing Hours per Resident per Day
3.84271
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03958
Expected CNA Staffing Hours per Resident per Day
2.17715
Expected LPN Staffing Hours per Resident per Day
0.68206
Expected RN Staffing Hours per Resident per Day
1.19989
Expected Total Nurse Staffing Hours per Resident per Day
4.05910
Adjusted CNA Staffing Hours per Resident per Day
2.48591
Adjusted LPN Staffing Hours per Resident per Day
1.41274
Adjusted RN Staffing Hours per Resident per Day
0.29644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81601
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-15
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
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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