Manorcare Health Svcs-belden Village - Canton Nursing Home
General Information
UPDATEFederal Provider Number
365324
Provider Name
MANORCARE HEALTH SVCS-BELDEN VILLAGE
Provider Address
5005 HIGBEE AVENUE NW
CANTON, OH 44718
CANTON, OH 44718
Provider Phone Number
(330) 492-7835
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01983
Reported LPN Staffing Hours per Resident per Day
0.67543
Reported RN Staffing Hours per Resident per Day
0.40086
Reported Licensed Staffing Hours per Resident per Day
1.07629
Reported Total Nurse Staffing Hours per Resident per Day
3.09612
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06164
Expected CNA Staffing Hours per Resident per Day
2.50005
Expected LPN Staffing Hours per Resident per Day
0.80923
Expected RN Staffing Hours per Resident per Day
1.40119
Expected Total Nurse Staffing Hours per Resident per Day
4.71047
Adjusted CNA Staffing Hours per Resident per Day
1.98238
Adjusted LPN Staffing Hours per Resident per Day
0.69276
Adjusted RN Staffing Hours per Resident per Day
0.21376
Adjusted Total Nurse Staffing Hours per Resident per Day
2.64945
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
4225
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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