Ridgewood Manor - Maumee Nursing Home

General Information

UPDATE
Federal Provider Number
365952
Provider Name
RIDGEWOOD MANOR
Provider Address
3231 MANLEY ROAD
MAUMEE, OH 43537
Provider Phone Number
4198651248
Provider SSA County
490
Provider County Name
Lucas
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIDGEWOOD FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-12-24
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.11071
Reported LPN Staffing Hours per Resident per Day
0.67857
Reported RN Staffing Hours per Resident per Day
0.56548
Reported Licensed Staffing Hours per Resident per Day
1.24405
Reported Total Nurse Staffing Hours per Resident per Day
3.35476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04702
Expected CNA Staffing Hours per Resident per Day
2.33894
Expected LPN Staffing Hours per Resident per Day
0.70963
Expected RN Staffing Hours per Resident per Day
1.32893
Expected Total Nurse Staffing Hours per Resident per Day
4.37750
Adjusted CNA Staffing Hours per Resident per Day
2.21428
Adjusted LPN Staffing Hours per Resident per Day
0.79367
Adjusted RN Staffing Hours per Resident per Day
0.31794
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08914
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-10-07
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
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
32
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
32
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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