Saint Luke Lutheran Home - North Canton Nursing Home

General Information

UPDATE
Federal Provider Number
365521
Provider Name
SAINT LUKE LUTHERAN HOME
Provider Address
220 APPLEGROVE STREET NE
NORTH CANTON, OH 44720
Provider Phone Number
3304998341
Provider SSA County
770
Provider County Name
Stark
Ownership Type
Non profit - Church related
Number of Certified Beds
202
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. LUKE LUTHERAN HOME FOR THE AGING
Date First Approved to Provide Medicare and Medicaid services
1980-06-12
Continuing Care Retirement Community
Y
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
2
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
2.87086
Reported LPN Staffing Hours per Resident per Day
0.79143
Reported RN Staffing Hours per Resident per Day
0.68514
Reported Licensed Staffing Hours per Resident per Day
1.47657
Reported Total Nurse Staffing Hours per Resident per Day
4.34743
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02771
Expected CNA Staffing Hours per Resident per Day
2.56229
Expected LPN Staffing Hours per Resident per Day
0.63158
Expected RN Staffing Hours per Resident per Day
1.12359
Expected Total Nurse Staffing Hours per Resident per Day
4.31745
Adjusted CNA Staffing Hours per Resident per Day
2.74920
Adjusted LPN Staffing Hours per Resident per Day
1.04007
Adjusted RN Staffing Hours per Resident per Day
0.45563
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05889
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-12-06
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-08-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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