St Mary Of The Woods - Avon Nursing Home

General Information

UPDATE
Federal Provider Number
366342
Provider Name
ST MARY OF THE WOODS
Provider Address
35755 DETROIT ROAD
AVON, OH 44011
Provider Phone Number
4409376869
Provider SSA County
480
Provider County Name
Lorain
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
28
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ATRIUM RETIREMENT CENTERS LLC
Date First Approved to Provide Medicare and Medicaid services
2007-05-22
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20714
Reported LPN Staffing Hours per Resident per Day
1.52857
Reported RN Staffing Hours per Resident per Day
0.93571
Reported Licensed Staffing Hours per Resident per Day
2.46429
Reported Total Nurse Staffing Hours per Resident per Day
4.67142
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20179
Expected CNA Staffing Hours per Resident per Day
2.60804
Expected LPN Staffing Hours per Resident per Day
0.71911
Expected RN Staffing Hours per Resident per Day
1.42603
Expected Total Nurse Staffing Hours per Resident per Day
4.75318
Adjusted CNA Staffing Hours per Resident per Day
2.07652
Adjusted LPN Staffing Hours per Resident per Day
1.76428
Adjusted RN Staffing Hours per Resident per Day
0.49029
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96157
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
20
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-04-04
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
2011-12-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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