Rae Ann Geneva - Geneva Nursing Home
General Information
UPDATEFederal Provider Number
366047
Provider Name
RAE ANN GENEVA
Provider Address
839 W MAIN STREET
GENEVA, OH 44041
GENEVA, OH 44041
Provider Phone Number
(440) 466-5733
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RAE-ANN GENEVA, INC..
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.68500
Reported LPN Staffing Hours per Resident per Day
0.79643
Reported RN Staffing Hours per Resident per Day
0.71500
Reported Licensed Staffing Hours per Resident per Day
1.51143
Reported Total Nurse Staffing Hours per Resident per Day
4.19643
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01143
Expected CNA Staffing Hours per Resident per Day
2.39142
Expected LPN Staffing Hours per Resident per Day
0.70387
Expected RN Staffing Hours per Resident per Day
1.31354
Expected Total Nurse Staffing Hours per Resident per Day
4.40883
Adjusted CNA Staffing Hours per Resident per Day
2.75492
Adjusted LPN Staffing Hours per Resident per Day
0.93915
Adjusted RN Staffing Hours per Resident per Day
0.40672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83671
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
2014-05-29
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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