Northfield Village Retirement Community - Northfield Nursing Home
General Information
UPDATEFederal Provider Number
366275
Provider Name
NORTHFIELD VILLAGE RETIREMENT COMMUNITY
Provider Address
10267 NORTHFIELD ROAD
NORTHFIELD, OH 44067
NORTHFIELD, OH 44067
Provider Phone Number
3304681800
Provider SSA County
780
Provider County Name
Summit
Ownership Type
For profit - Partnership
Number of Certified Beds
75
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHFIELD VILLAGE RETIREMENT COMMUNITY, LTD.
Date First Approved to Provide Medicare and Medicaid services
2003-07-03
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
2.31228
Reported LPN Staffing Hours per Resident per Day
0.72807
Reported RN Staffing Hours per Resident per Day
0.92368
Reported Licensed Staffing Hours per Resident per Day
1.65175
Reported Total Nurse Staffing Hours per Resident per Day
3.96403
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08158
Expected CNA Staffing Hours per Resident per Day
2.49598
Expected LPN Staffing Hours per Resident per Day
0.77125
Expected RN Staffing Hours per Resident per Day
1.37148
Expected Total Nurse Staffing Hours per Resident per Day
4.63871
Adjusted CNA Staffing Hours per Resident per Day
2.27311
Adjusted LPN Staffing Hours per Resident per Day
0.78353
Adjusted RN Staffing Hours per Resident per Day
0.50323
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44462
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-05
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-12
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
2012-09-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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