Main Street Care Center - Avon Lake Nursing Home

General Information

UPDATE
Federal Provider Number
365865
Provider Name
MAIN STREET CARE CENTER
Provider Address
500 COMMUNITY DRIVE
AVON LAKE, OH 44012
Provider Phone Number
(440) 930-6600
Provider SSA County
480
Provider County Name
Lorain
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAIN STREET CARE CENTER, LTD.
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
Continuing Care Retirement Community
Y
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
4
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
2.48814
Reported LPN Staffing Hours per Resident per Day
1.77627
Reported RN Staffing Hours per Resident per Day
0.57669
Reported Licensed Staffing Hours per Resident per Day
2.35297
Reported Total Nurse Staffing Hours per Resident per Day
4.84110
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14576
Expected CNA Staffing Hours per Resident per Day
2.50995
Expected LPN Staffing Hours per Resident per Day
0.71897
Expected RN Staffing Hours per Resident per Day
1.30942
Expected Total Nurse Staffing Hours per Resident per Day
4.53834
Adjusted CNA Staffing Hours per Resident per Day
2.43238
Adjusted LPN Staffing Hours per Resident per Day
2.05057
Adjusted RN Staffing Hours per Resident per Day
0.32908
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29981
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
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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