Samaritan Care Center - Medina Nursing Home
General Information
UPDATEFederal Provider Number
365817
Provider Name
SAMARITAN CARE CENTER
Provider Address
806 E WASHINGTON STREET
MEDINA, OH 44256
MEDINA, OH 44256
Provider Phone Number
(330) 725-4123
Provider SSA County
530
Provider County Name
Medina
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAMARITAN CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1990-11-30
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.03333
Reported LPN Staffing Hours per Resident per Day
1.37639
Reported RN Staffing Hours per Resident per Day
0.97500
Reported Licensed Staffing Hours per Resident per Day
2.35139
Reported Total Nurse Staffing Hours per Resident per Day
4.38472
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02639
Expected CNA Staffing Hours per Resident per Day
2.36282
Expected LPN Staffing Hours per Resident per Day
0.74826
Expected RN Staffing Hours per Resident per Day
1.29709
Expected Total Nurse Staffing Hours per Resident per Day
4.40817
Adjusted CNA Staffing Hours per Resident per Day
2.11154
Adjusted LPN Staffing Hours per Resident per Day
1.52675
Adjusted RN Staffing Hours per Resident per Day
0.56166
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00946
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
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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