Saybrook Landing - Ashtabula Nursing Home
General Information
UPDATEFederal Provider Number
366382
Provider Name
SAYBROOK LANDING
Provider Address
2300 CENTER ROAD
ASHTABULA, OH 44004
ASHTABULA, OH 44004
Provider Phone Number
(440) 969-1509
Provider SSA County
30
Provider County Name
Ashtabula
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAYBROOK MEADOWS RETIREMENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2009-12-30
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.36379
Reported LPN Staffing Hours per Resident per Day
0.91034
Reported RN Staffing Hours per Resident per Day
0.94483
Reported Licensed Staffing Hours per Resident per Day
1.85517
Reported Total Nurse Staffing Hours per Resident per Day
4.21896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04425
Expected CNA Staffing Hours per Resident per Day
2.56599
Expected LPN Staffing Hours per Resident per Day
0.77326
Expected RN Staffing Hours per Resident per Day
1.36555
Expected Total Nurse Staffing Hours per Resident per Day
4.70480
Adjusted CNA Staffing Hours per Resident per Day
2.26035
Adjusted LPN Staffing Hours per Resident per Day
0.97714
Adjusted RN Staffing Hours per Resident per Day
0.51699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61465
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
6760
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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