Rae-ann Westlake - Westlake Nursing Home
General Information
UPDATEFederal Provider Number
365115
Provider Name
RAE-ANN WESTLAKE
Provider Address
28303 DETROIT RD
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Provider Phone Number
(440) 871-0500
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RAE-ANN WESTLAKE INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42321
Reported LPN Staffing Hours per Resident per Day
0.54063
Reported RN Staffing Hours per Resident per Day
0.52813
Reported Licensed Staffing Hours per Resident per Day
1.06875
Reported Total Nurse Staffing Hours per Resident per Day
3.49197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01830
Expected CNA Staffing Hours per Resident per Day
2.47698
Expected LPN Staffing Hours per Resident per Day
0.73214
Expected RN Staffing Hours per Resident per Day
1.26422
Expected Total Nurse Staffing Hours per Resident per Day
4.47333
Adjusted CNA Staffing Hours per Resident per Day
2.40043
Adjusted LPN Staffing Hours per Resident per Day
0.61289
Adjusted RN Staffing Hours per Resident per Day
0.31215
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14660
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-06-24
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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