Signature Healthcare Of Warren - Warren Nursing Home
General Information
UPDATEFederal Provider Number
365539
Provider Name
SIGNATURE HEALTHCARE OF WARREN
Provider Address
2473 NORTH RD NE
WARREN, OH 44483
WARREN, OH 44483
Provider Phone Number
(330) 372-2251
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP WARREN LLC
Date First Approved to Provide Medicare and Medicaid services
1980-06-18
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
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.17411
Reported LPN Staffing Hours per Resident per Day
1.24777
Reported RN Staffing Hours per Resident per Day
0.31563
Reported Licensed Staffing Hours per Resident per Day
1.56339
Reported Total Nurse Staffing Hours per Resident per Day
3.73751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10580
Expected CNA Staffing Hours per Resident per Day
2.25387
Expected LPN Staffing Hours per Resident per Day
0.62498
Expected RN Staffing Hours per Resident per Day
1.15095
Expected Total Nurse Staffing Hours per Resident per Day
4.02981
Adjusted CNA Staffing Hours per Resident per Day
2.36686
Adjusted LPN Staffing Hours per Resident per Day
1.65709
Adjusted RN Staffing Hours per Resident per Day
0.20491
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73852
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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