Minerva Eldercare Center - Minerva Nursing Home
General Information
UPDATEFederal Provider Number
366187
Provider Name
MINERVA ELDERCARE CENTER
Provider Address
1035 EAST LINCOLNWAY
MINERVA, OH 44657
MINERVA, OH 44657
Provider Phone Number
3308684147
Provider SSA County
770
Provider County Name
Stark
Ownership Type
For profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MINERVA CONVALESCENT CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
1.89815
Reported LPN Staffing Hours per Resident per Day
0.73519
Reported RN Staffing Hours per Resident per Day
0.86111
Reported Licensed Staffing Hours per Resident per Day
1.59630
Reported Total Nurse Staffing Hours per Resident per Day
3.49445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03519
Expected CNA Staffing Hours per Resident per Day
2.60326
Expected LPN Staffing Hours per Resident per Day
0.66791
Expected RN Staffing Hours per Resident per Day
1.23227
Expected Total Nurse Staffing Hours per Resident per Day
4.50343
Adjusted CNA Staffing Hours per Resident per Day
1.78910
Adjusted LPN Staffing Hours per Resident per Day
0.91361
Adjusted RN Staffing Hours per Resident per Day
0.52215
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12779
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
0
Cycle 1 Standard Survey Health Date
2014-11-13
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
14528
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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