Omni Manor Nursing Home - Youngstown Nursing Home
General Information
UPDATEFederal Provider Number
365433
Provider Name
OMNI MANOR NURSING HOME
Provider Address
3245 VESTAL ROAD
YOUNGSTOWN, OH 44509
YOUNGSTOWN, OH 44509
Provider Phone Number
3307935648
Provider SSA County
510
Provider County Name
Mahoning
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMNI MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-02-29
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44258
Reported LPN Staffing Hours per Resident per Day
0.95977
Reported RN Staffing Hours per Resident per Day
0.55938
Reported Licensed Staffing Hours per Resident per Day
1.51914
Reported Total Nurse Staffing Hours per Resident per Day
3.96173
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04453
Expected CNA Staffing Hours per Resident per Day
2.41344
Expected LPN Staffing Hours per Resident per Day
0.71289
Expected RN Staffing Hours per Resident per Day
1.31951
Expected Total Nurse Staffing Hours per Resident per Day
4.44585
Adjusted CNA Staffing Hours per Resident per Day
2.48332
Adjusted LPN Staffing Hours per Resident per Day
1.11743
Adjusted RN Staffing Hours per Resident per Day
0.31676
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59197
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-19
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
52.00000
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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