Ohio Nursing Homes >> Westlake Nursing Homes >> Rae Ann Suburban

Rae Ann Suburban - Westlake Nursing Home

General Information

UPDATE
Federal Provider Number
365845
Provider Name
RAE ANN SUBURBAN
Provider Address
29505 DETROIT RD
WESTLAKE, OH 44145
Provider Phone Number
(440) 871-5181
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RAE-ANN SUBURBAN INC
Date First Approved to Provide Medicare and Medicaid services
1991-06-06
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
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.21348
Reported LPN Staffing Hours per Resident per Day
0.44494
Reported RN Staffing Hours per Resident per Day
1.78764
Reported Licensed Staffing Hours per Resident per Day
2.23258
Reported Total Nurse Staffing Hours per Resident per Day
5.44606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04663
Expected CNA Staffing Hours per Resident per Day
2.68096
Expected LPN Staffing Hours per Resident per Day
0.74286
Expected RN Staffing Hours per Resident per Day
1.20697
Expected Total Nurse Staffing Hours per Resident per Day
4.63078
Adjusted CNA Staffing Hours per Resident per Day
2.94108
Adjusted LPN Staffing Hours per Resident per Day
0.49713
Adjusted RN Staffing Hours per Resident per Day
1.10668
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74056
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
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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