St Augustine Manor - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365883
Provider Name
ST AUGUSTINE MANOR
Provider Address
7801 DETROIT AVE
CLEVELAND, OH 44102
CLEVELAND, OH 44102
Provider Phone Number
(216) 634-7400
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
248
Number of Residents in Certified Beds
214
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST AUGUSTINE MANOR
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
1.91238
Reported LPN Staffing Hours per Resident per Day
1.11846
Reported RN Staffing Hours per Resident per Day
0.61472
Reported Licensed Staffing Hours per Resident per Day
1.73318
Reported Total Nurse Staffing Hours per Resident per Day
3.64556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06449
Expected CNA Staffing Hours per Resident per Day
2.48285
Expected LPN Staffing Hours per Resident per Day
0.77549
Expected RN Staffing Hours per Resident per Day
1.25427
Expected Total Nurse Staffing Hours per Resident per Day
4.51261
Adjusted CNA Staffing Hours per Resident per Day
1.88993
Adjusted LPN Staffing Hours per Resident per Day
1.19708
Adjusted RN Staffing Hours per Resident per Day
0.36620
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25641
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-07-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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