St Mary's Alzheimer's Center - Columbiana Nursing Home
General Information
UPDATEFederal Provider Number
365715
Provider Name
ST MARY'S ALZHEIMER'S CENTER
Provider Address
1899 GARFIELD RD
COLUMBIANA, OH 44408
COLUMBIANA, OH 44408
Provider Phone Number
(330) 549-9259
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMNI MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-10-20
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.39628
Reported LPN Staffing Hours per Resident per Day
0.72872
Reported RN Staffing Hours per Resident per Day
0.92819
Reported Licensed Staffing Hours per Resident per Day
1.65691
Reported Total Nurse Staffing Hours per Resident per Day
4.05319
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00904
Expected CNA Staffing Hours per Resident per Day
2.67379
Expected LPN Staffing Hours per Resident per Day
0.68834
Expected RN Staffing Hours per Resident per Day
1.11637
Expected Total Nurse Staffing Hours per Resident per Day
4.47850
Adjusted CNA Staffing Hours per Resident per Day
2.19903
Adjusted LPN Staffing Hours per Resident per Day
0.87869
Adjusted RN Staffing Hours per Resident per Day
0.62125
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64809
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
12
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.00000
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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