Shepherd Of The Valley Howland - Howland Nursing Home

General Information

UPDATE
Federal Provider Number
366258
Provider Name
SHEPHERD OF THE VALLEY HOWLAND
Provider Address
4100 NORTH RIVER ROAD
HOWLAND, OH 44484
Provider Phone Number
(330) 856-9232
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-01-14
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.65566
Reported LPN Staffing Hours per Resident per Day
1.07830
Reported RN Staffing Hours per Resident per Day
0.95472
Reported Licensed Staffing Hours per Resident per Day
2.03302
Reported Total Nurse Staffing Hours per Resident per Day
4.68868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10472
Expected CNA Staffing Hours per Resident per Day
2.68224
Expected LPN Staffing Hours per Resident per Day
0.69157
Expected RN Staffing Hours per Resident per Day
1.26405
Expected Total Nurse Staffing Hours per Resident per Day
4.63787
Adjusted CNA Staffing Hours per Resident per Day
2.42938
Adjusted LPN Staffing Hours per Resident per Day
1.29414
Adjusted RN Staffing Hours per Resident per Day
0.56435
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07506
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
16
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
24.66700
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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