National Church Residences Bath Road - Cuyahoga Falls Nursing Home
General Information
UPDATEFederal Provider Number
365826
Provider Name
NATIONAL CHURCH RESIDENCES BATH ROAD
Provider Address
300 EAST BATH ROAD
CUYAHOGA FALLS, OH 44223
CUYAHOGA FALLS, OH 44223
Provider Phone Number
(330) 929-6272
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PORTAGE TRAIL CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-03-13
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
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
2.69810
Reported LPN Staffing Hours per Resident per Day
0.98048
Reported RN Staffing Hours per Resident per Day
0.71952
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
4.39810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07952
Expected CNA Staffing Hours per Resident per Day
2.66833
Expected LPN Staffing Hours per Resident per Day
0.74466
Expected RN Staffing Hours per Resident per Day
1.30532
Expected Total Nurse Staffing Hours per Resident per Day
4.71831
Adjusted CNA Staffing Hours per Resident per Day
2.48107
Adjusted LPN Staffing Hours per Resident per Day
1.09285
Adjusted RN Staffing Hours per Resident per Day
0.41187
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75734
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2194
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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