Shaker Gardens Nursing & Rehab Ctr - Shaker Heights Nursing Home
General Information
UPDATEFederal Provider Number
366021
Provider Name
SHAKER GARDENS NURSING & REHAB CTR
Provider Address
3550 NORTHFIELD ROAD
SHAKER HEIGHTS, OH 44122
SHAKER HEIGHTS, OH 44122
Provider Phone Number
2167525600
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MFF SOMERSET, L.L.C
Date First Approved to Provide Medicare and Medicaid services
1995-08-11
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79667
Reported LPN Staffing Hours per Resident per Day
0.83778
Reported RN Staffing Hours per Resident per Day
0.71556
Reported Licensed Staffing Hours per Resident per Day
1.55333
Reported Total Nurse Staffing Hours per Resident per Day
3.35001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48564
Expected LPN Staffing Hours per Resident per Day
0.84302
Expected RN Staffing Hours per Resident per Day
1.41529
Expected Total Nurse Staffing Hours per Resident per Day
4.74396
Adjusted CNA Staffing Hours per Resident per Day
1.77358
Adjusted LPN Staffing Hours per Resident per Day
0.82484
Adjusted RN Staffing Hours per Resident per Day
0.37778
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84647
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
139
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
139
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-19
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
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
88.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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