Parkside Villa - Middleburg Heights Nursing Home
General Information
UPDATEFederal Provider Number
366229
Provider Name
PARKSIDE VILLA
Provider Address
7040 HEPBURN ROAD
MIDDLEBURG HEIGHTS, OH 44130
MIDDLEBURG HEIGHTS, OH 44130
Provider Phone Number
(440) 260-7626
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDDLEBURG-LEGACY PLACE, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-12-05
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84533
Reported LPN Staffing Hours per Resident per Day
0.64700
Reported RN Staffing Hours per Resident per Day
1.58200
Reported Licensed Staffing Hours per Resident per Day
2.22900
Reported Total Nurse Staffing Hours per Resident per Day
5.07433
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14167
Expected CNA Staffing Hours per Resident per Day
2.66843
Expected LPN Staffing Hours per Resident per Day
0.93892
Expected RN Staffing Hours per Resident per Day
1.66396
Expected Total Nurse Staffing Hours per Resident per Day
5.27131
Adjusted CNA Staffing Hours per Resident per Day
2.61636
Adjusted LPN Staffing Hours per Resident per Day
0.57195
Adjusted RN Staffing Hours per Resident per Day
0.71040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88027
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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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