Shadyside Care Center - Shadyside Nursing Home
General Information
UPDATEFederal Provider Number
366285
Provider Name
SHADYSIDE CARE CENTER
Provider Address
60583 STATE ROUTE 7
SHADYSIDE, OH 43947
SHADYSIDE, OH 43947
Provider Phone Number
(740) 676-8381
Provider SSA County
60
Provider County Name
Belmont
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2003-11-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.21250
Reported LPN Staffing Hours per Resident per Day
0.63490
Reported RN Staffing Hours per Resident per Day
0.73073
Reported Licensed Staffing Hours per Resident per Day
1.36563
Reported Total Nurse Staffing Hours per Resident per Day
3.57813
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06406
Expected CNA Staffing Hours per Resident per Day
2.47382
Expected LPN Staffing Hours per Resident per Day
0.63349
Expected RN Staffing Hours per Resident per Day
1.11032
Expected Total Nurse Staffing Hours per Resident per Day
4.21763
Adjusted CNA Staffing Hours per Resident per Day
2.19451
Adjusted LPN Staffing Hours per Resident per Day
0.83185
Adjusted RN Staffing Hours per Resident per Day
0.49175
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41972
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
32
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
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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