Salem Regional Medical Center-snf - Salem Nursing Home
General Information
UPDATEFederal Provider Number
365682
Provider Name
SALEM REGIONAL MEDICAL CENTER-SNF
Provider Address
1995 EAST STATE STREET
SALEM, OH 44460
SALEM, OH 44460
Provider Phone Number
(330) 332-7434
Provider SSA County
140
Provider County Name
Columbiana
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
15
Number of Residents in Certified Beds
10
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SALEM COMMUNITY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1986-07-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.97000
Reported LPN Staffing Hours per Resident per Day
1.60000
Reported RN Staffing Hours per Resident per Day
3.02500
Reported Licensed Staffing Hours per Resident per Day
4.62500
Reported Total Nurse Staffing Hours per Resident per Day
7.59500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.62500
Expected CNA Staffing Hours per Resident per Day
2.42316
Expected LPN Staffing Hours per Resident per Day
0.77320
Expected RN Staffing Hours per Resident per Day
1.86482
Expected Total Nurse Staffing Hours per Resident per Day
5.06118
Adjusted CNA Staffing Hours per Resident per Day
3.00743
Adjusted LPN Staffing Hours per Resident per Day
1.71754
Adjusted RN Staffing Hours per Resident per Day
1.21207
Adjusted Total Nurse Staffing Hours per Resident per Day
6.04893
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-02-26
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
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
2013-01-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
7.33300
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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