Mt Alverna Home Inc - Parma Nursing Home

General Information

UPDATE
Federal Provider Number
366071
Provider Name
MT ALVERNA HOME INC
Provider Address
6765 STATE ROAD
PARMA, OH 44134
Provider Phone Number
4408437800
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
Non profit - Corporation
Number of Certified Beds
153
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANCISCAN COMMUNITIES, INC
Date First Approved to Provide Medicare and Medicaid services
1996-08-02
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.70804
Reported LPN Staffing Hours per Resident per Day
1.23671
Reported RN Staffing Hours per Resident per Day
0.62587
Reported Licensed Staffing Hours per Resident per Day
1.86259
Reported Total Nurse Staffing Hours per Resident per Day
4.57062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08007
Expected CNA Staffing Hours per Resident per Day
2.60300
Expected LPN Staffing Hours per Resident per Day
0.66643
Expected RN Staffing Hours per Resident per Day
1.18903
Expected Total Nurse Staffing Hours per Resident per Day
4.45847
Adjusted CNA Staffing Hours per Resident per Day
2.55271
Adjusted LPN Staffing Hours per Resident per Day
1.54025
Adjusted RN Staffing Hours per Resident per Day
0.39330
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13230
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-11
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
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
2012-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
32.66700
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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