Masternick Memorial Health Care Center - New Middletown Nursing Home
General Information
UPDATEFederal Provider Number
366375
Provider Name
MASTERNICK MEMORIAL HEALTH CARE CENTER
Provider Address
5250 WINDSOR WAY
NEW MIDDLETOWN, OH 44442
NEW MIDDLETOWN, OH 44442
Provider Phone Number
(330) 542-9542
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMNI MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
2009-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.27000
Reported LPN Staffing Hours per Resident per Day
1.16167
Reported RN Staffing Hours per Resident per Day
0.61556
Reported Licensed Staffing Hours per Resident per Day
1.77722
Reported Total Nurse Staffing Hours per Resident per Day
4.04723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.52849
Expected LPN Staffing Hours per Resident per Day
0.74475
Expected RN Staffing Hours per Resident per Day
1.36200
Expected Total Nurse Staffing Hours per Resident per Day
4.63524
Adjusted CNA Staffing Hours per Resident per Day
2.20285
Adjusted LPN Staffing Hours per Resident per Day
1.29464
Adjusted RN Staffing Hours per Resident per Day
0.33770
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51955
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
10.66700
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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