Mount Royal Villa - North Royalton Nursing Home
General Information
UPDATEFederal Provider Number
366158
Provider Name
MOUNT ROYAL VILLA
Provider Address
13900 BENNETT ROAD
NORTH ROYALTON, OH 44133
NORTH ROYALTON, OH 44133
Provider Phone Number
(440) 237-7966
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT ROYAL FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-03-29
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.72569
Reported LPN Staffing Hours per Resident per Day
1.34583
Reported RN Staffing Hours per Resident per Day
0.71528
Reported Licensed Staffing Hours per Resident per Day
2.06111
Reported Total Nurse Staffing Hours per Resident per Day
3.78680
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07847
Expected CNA Staffing Hours per Resident per Day
2.43697
Expected LPN Staffing Hours per Resident per Day
0.67831
Expected RN Staffing Hours per Resident per Day
1.15281
Expected Total Nurse Staffing Hours per Resident per Day
4.26809
Adjusted CNA Staffing Hours per Resident per Day
1.73754
Adjusted LPN Staffing Hours per Resident per Day
1.64679
Adjusted RN Staffing Hours per Resident per Day
0.46361
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57636
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
16
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
26.66700
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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