Pine Valley Care Center - Richfield Nursing Home

General Information

UPDATE
Federal Provider Number
365370
Provider Name
PINE VALLEY CARE CENTER
Provider Address
4360 BRECKSVILLE RD
RICHFIELD, OH 44286
Provider Phone Number
(330) 659-6166
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRECKSVILLE LEASING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-12
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.86627
Reported LPN Staffing Hours per Resident per Day
0.58193
Reported RN Staffing Hours per Resident per Day
0.59398
Reported Licensed Staffing Hours per Resident per Day
1.17590
Reported Total Nurse Staffing Hours per Resident per Day
3.04218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02590
Expected CNA Staffing Hours per Resident per Day
2.31631
Expected LPN Staffing Hours per Resident per Day
0.64396
Expected RN Staffing Hours per Resident per Day
1.15183
Expected Total Nurse Staffing Hours per Resident per Day
4.11210
Adjusted CNA Staffing Hours per Resident per Day
1.97697
Adjusted LPN Staffing Hours per Resident per Day
0.75005
Adjusted RN Staffing Hours per Resident per Day
0.38532
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98211
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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