Pebble Creek - Akron Nursing Home
General Information
UPDATEFederal Provider Number
365727
Provider Name
PEBBLE CREEK
Provider Address
670 JARVIS RD
AKRON, OH 44319
AKRON, OH 44319
Provider Phone Number
(330) 645-0200
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JARVIS LEASING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-04
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.09864
Reported LPN Staffing Hours per Resident per Day
0.84218
Reported RN Staffing Hours per Resident per Day
0.93741
Reported Licensed Staffing Hours per Resident per Day
1.77959
Reported Total Nurse Staffing Hours per Resident per Day
3.87823
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11667
Expected CNA Staffing Hours per Resident per Day
2.59972
Expected LPN Staffing Hours per Resident per Day
0.77431
Expected RN Staffing Hours per Resident per Day
1.41844
Expected Total Nurse Staffing Hours per Resident per Day
4.79248
Adjusted CNA Staffing Hours per Resident per Day
1.98076
Adjusted LPN Staffing Hours per Resident per Day
0.90275
Adjusted RN Staffing Hours per Resident per Day
0.49380
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26194
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
12
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
11.33300
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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