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Norwalk Memorial Home - Norwalk Nursing Home

General Information

UPDATE
Federal Provider Number
365668
Provider Name
NORWALK MEMORIAL HOME
Provider Address
272 BENEDICT AVE
NORWALK, OH 44857
Provider Phone Number
(419) 668-8101
Provider SSA County
400
Provider County Name
Huron
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
69
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FISHER-TITUS MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1985-10-21
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.24242
Reported LPN Staffing Hours per Resident per Day
1.11667
Reported RN Staffing Hours per Resident per Day
0.59015
Reported Licensed Staffing Hours per Resident per Day
1.70682
Reported Total Nurse Staffing Hours per Resident per Day
3.94924
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08636
Expected CNA Staffing Hours per Resident per Day
2.64460
Expected LPN Staffing Hours per Resident per Day
0.69494
Expected RN Staffing Hours per Resident per Day
1.12514
Expected Total Nurse Staffing Hours per Resident per Day
4.46468
Adjusted CNA Staffing Hours per Resident per Day
2.08055
Adjusted LPN Staffing Hours per Resident per Day
1.33369
Adjusted RN Staffing Hours per Resident per Day
0.39192
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56554
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
2014-08-21
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
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
2012-03-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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