Merit House Llc - Toledo Nursing Home
General Information
UPDATEFederal Provider Number
365279
Provider Name
MERIT HOUSE LLC
Provider Address
4645 LEWIS AVE
TOLEDO, OH 43612
TOLEDO, OH 43612
Provider Phone Number
(419) 478-5131
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
53
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIT HOUSE LLC
Date First Approved to Provide Medicare and Medicaid services
1972-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91429
Reported LPN Staffing Hours per Resident per Day
0.45510
Reported RN Staffing Hours per Resident per Day
0.87449
Reported Licensed Staffing Hours per Resident per Day
1.32959
Reported Total Nurse Staffing Hours per Resident per Day
3.24388
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01633
Expected CNA Staffing Hours per Resident per Day
2.37998
Expected LPN Staffing Hours per Resident per Day
0.64282
Expected RN Staffing Hours per Resident per Day
1.16074
Expected Total Nurse Staffing Hours per Resident per Day
4.18354
Adjusted CNA Staffing Hours per Resident per Day
1.97359
Adjusted LPN Staffing Hours per Resident per Day
0.58762
Adjusted RN Staffing Hours per Resident per Day
0.56293
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12553
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
40
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
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
44
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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