Parkside Health Care Center - Columbiana Nursing Home
General Information
UPDATEFederal Provider Number
365766
Provider Name
PARKSIDE HEALTH CARE CENTER
Provider Address
930 EAST PARK AVENUE
COLUMBIANA, OH 44408
COLUMBIANA, OH 44408
Provider Phone Number
3304825547
Provider SSA County
140
Provider County Name
Columbiana
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
84
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
1989-10-05
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16488
Reported LPN Staffing Hours per Resident per Day
0.84464
Reported RN Staffing Hours per Resident per Day
0.81667
Reported Licensed Staffing Hours per Resident per Day
1.66131
Reported Total Nurse Staffing Hours per Resident per Day
3.82619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02976
Expected CNA Staffing Hours per Resident per Day
2.51011
Expected LPN Staffing Hours per Resident per Day
0.68727
Expected RN Staffing Hours per Resident per Day
1.18879
Expected Total Nurse Staffing Hours per Resident per Day
4.38616
Adjusted CNA Staffing Hours per Resident per Day
2.11623
Adjusted LPN Staffing Hours per Resident per Day
1.02005
Adjusted RN Staffing Hours per Resident per Day
0.51331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51628
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-26
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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