Northwestern Center - Berea Nursing Home
General Information
UPDATEFederal Provider Number
365811
Provider Name
NORTHWESTERN CENTER
Provider Address
570 NORTH ROCKY RIVER DRIVE
BEREA, OH 44017
BEREA, OH 44017
Provider Phone Number
(440) 243-2122
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROCKY RIVER LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1990-10-25
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.63989
Reported LPN Staffing Hours per Resident per Day
0.53708
Reported RN Staffing Hours per Resident per Day
0.90674
Reported Licensed Staffing Hours per Resident per Day
1.44382
Reported Total Nurse Staffing Hours per Resident per Day
3.08371
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.37456
Expected LPN Staffing Hours per Resident per Day
0.78066
Expected RN Staffing Hours per Resident per Day
1.38932
Expected Total Nurse Staffing Hours per Resident per Day
4.54454
Adjusted CNA Staffing Hours per Resident per Day
1.69454
Adjusted LPN Staffing Hours per Resident per Day
0.57103
Adjusted RN Staffing Hours per Resident per Day
0.48766
Adjusted Total Nurse Staffing Hours per Resident per Day
2.73518
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-08-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
44.00000
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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