Rose Lane Nursing And Rehabilitation - Massillon Nursing Home
General Information
UPDATEFederal Provider Number
365289
Provider Name
ROSE LANE NURSING AND REHABILITATION
Provider Address
5425 HIGH MILL AVENUE NW
MASSILLON, OH 44646
MASSILLON, OH 44646
Provider Phone Number
3308333174
Provider SSA County
770
Provider County Name
Stark
Ownership Type
For profit - Corporation
Number of Certified Beds
171
Number of Residents in Certified Beds
162
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROSE LANE HEALTH AND REHABILITATION INC.
Date First Approved to Provide Medicare and Medicaid services
1973-04-20
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82623
Reported LPN Staffing Hours per Resident per Day
0.63179
Reported RN Staffing Hours per Resident per Day
0.86204
Reported Licensed Staffing Hours per Resident per Day
1.49383
Reported Total Nurse Staffing Hours per Resident per Day
3.32006
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06914
Expected CNA Staffing Hours per Resident per Day
2.43271
Expected LPN Staffing Hours per Resident per Day
0.68451
Expected RN Staffing Hours per Resident per Day
1.18190
Expected Total Nurse Staffing Hours per Resident per Day
4.29912
Adjusted CNA Staffing Hours per Resident per Day
1.84199
Adjusted LPN Staffing Hours per Resident per Day
0.76608
Adjusted RN Staffing Hours per Resident per Day
0.54498
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11292
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
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
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-24
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
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
24
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
1755
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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