Montefiore Home The - Beachwood Nursing Home
General Information
UPDATEFederal Provider Number
365046
Provider Name
MONTEFIORE HOME THE
Provider Address
ONE DAVID N MYERS PARKWAY
BEACHWOOD, OH 44122
BEACHWOOD, OH 44122
Provider Phone Number
(216) 360-9080
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
247
Number of Residents in Certified Beds
228
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTEFIORE HOME
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.89978
Reported LPN Staffing Hours per Resident per Day
1.07325
Reported RN Staffing Hours per Resident per Day
0.87478
Reported Licensed Staffing Hours per Resident per Day
1.94803
Reported Total Nurse Staffing Hours per Resident per Day
4.84781
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05197
Expected CNA Staffing Hours per Resident per Day
2.46911
Expected LPN Staffing Hours per Resident per Day
0.80116
Expected RN Staffing Hours per Resident per Day
1.36976
Expected Total Nurse Staffing Hours per Resident per Day
4.64004
Adjusted CNA Staffing Hours per Resident per Day
2.88168
Adjusted LPN Staffing Hours per Resident per Day
1.11188
Adjusted RN Staffing Hours per Resident per Day
0.47719
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21140
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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