Slovene Home For The Aged - Cleveland Nursing Home

General Information

UPDATE
Federal Provider Number
365567
Provider Name
SLOVENE HOME FOR THE AGED
Provider Address
18621 NEFF RD
CLEVELAND, OH 44119
Provider Phone Number
(216) 486-0268
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SLOVENE HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1981-10-22
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.37137
Reported LPN Staffing Hours per Resident per Day
0.70649
Reported RN Staffing Hours per Resident per Day
0.46260
Reported Licensed Staffing Hours per Resident per Day
1.16908
Reported Total Nurse Staffing Hours per Resident per Day
3.54046
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04198
Expected CNA Staffing Hours per Resident per Day
2.50229
Expected LPN Staffing Hours per Resident per Day
0.64443
Expected RN Staffing Hours per Resident per Day
1.09415
Expected Total Nurse Staffing Hours per Resident per Day
4.24087
Adjusted CNA Staffing Hours per Resident per Day
2.32532
Adjusted LPN Staffing Hours per Resident per Day
0.90993
Adjusted RN Staffing Hours per Resident per Day
0.31591
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36517
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
16.66700
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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