Pleasant Lake Villa - Parma Nursing Home
General Information
UPDATEFederal Provider Number
365706
Provider Name
PLEASANT LAKE VILLA
Provider Address
7260 RIDGE RD
PARMA, OH 44129
PARMA, OH 44129
Provider Phone Number
(440) 842-2273
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
199
Number of Residents in Certified Beds
196
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT LAKE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-11-18
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.24541
Reported LPN Staffing Hours per Resident per Day
0.69286
Reported RN Staffing Hours per Resident per Day
0.84515
Reported Licensed Staffing Hours per Resident per Day
1.53801
Reported Total Nurse Staffing Hours per Resident per Day
3.78342
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08878
Expected CNA Staffing Hours per Resident per Day
2.66766
Expected LPN Staffing Hours per Resident per Day
0.87756
Expected RN Staffing Hours per Resident per Day
1.46845
Expected Total Nurse Staffing Hours per Resident per Day
5.01366
Adjusted CNA Staffing Hours per Resident per Day
2.06532
Adjusted LPN Staffing Hours per Resident per Day
0.65531
Adjusted RN Staffing Hours per Resident per Day
0.43004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04180
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
20
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
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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