Pines, The - Canton Nursing Home
General Information
UPDATEFederal Provider Number
365862
Provider Name
PINES, THE
Provider Address
3015 17TH STREET NW
CANTON, OH 44708
CANTON, OH 44708
Provider Phone Number
(330) 454-6508
Provider SSA County
770
Provider County Name
Stark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1992-03-09
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
4
QM Rating Footnote
Staffing Rating
4
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
2.64030
Reported LPN Staffing Hours per Resident per Day
0.93955
Reported RN Staffing Hours per Resident per Day
0.91119
Reported Licensed Staffing Hours per Resident per Day
1.85075
Reported Total Nurse Staffing Hours per Resident per Day
4.49104
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08507
Expected CNA Staffing Hours per Resident per Day
2.59317
Expected LPN Staffing Hours per Resident per Day
0.73777
Expected RN Staffing Hours per Resident per Day
1.30778
Expected Total Nurse Staffing Hours per Resident per Day
4.63872
Adjusted CNA Staffing Hours per Resident per Day
2.49829
Adjusted LPN Staffing Hours per Resident per Day
1.05701
Adjusted RN Staffing Hours per Resident per Day
0.52061
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90257
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
2014-04-03
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
28
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
8.66700
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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