Manor At Hamlet Village The - Chagrin Falls Nursing Home
General Information
UPDATEFederal Provider Number
366274
Provider Name
MANOR AT HAMLET VILLAGE THE
Provider Address
150 CLEVELAND STREET
CHAGRIN FALLS, OH 44022
CHAGRIN FALLS, OH 44022
Provider Phone Number
(440) 247-4200
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2003-07-21
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03790
Reported LPN Staffing Hours per Resident per Day
1.07742
Reported RN Staffing Hours per Resident per Day
0.56452
Reported Licensed Staffing Hours per Resident per Day
1.64194
Reported Total Nurse Staffing Hours per Resident per Day
3.67984
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11613
Expected CNA Staffing Hours per Resident per Day
2.39507
Expected LPN Staffing Hours per Resident per Day
0.61937
Expected RN Staffing Hours per Resident per Day
0.95055
Expected Total Nurse Staffing Hours per Resident per Day
3.96499
Adjusted CNA Staffing Hours per Resident per Day
2.08779
Adjusted LPN Staffing Hours per Resident per Day
1.44382
Adjusted RN Staffing Hours per Resident per Day
0.44375
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74101
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-11-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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