Summit Villa Care Center - Tallmadge Nursing Home
General Information
UPDATEFederal Provider Number
366010
Provider Name
SUMMIT VILLA CARE CENTER
Provider Address
330 SOUTHWEST AVE
TALLMADGE, OH 44278
TALLMADGE, OH 44278
Provider Phone Number
(330) 633-0555
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-06-07
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.68403
Reported LPN Staffing Hours per Resident per Day
0.89861
Reported RN Staffing Hours per Resident per Day
0.38056
Reported Licensed Staffing Hours per Resident per Day
1.27917
Reported Total Nurse Staffing Hours per Resident per Day
2.96320
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11181
Expected CNA Staffing Hours per Resident per Day
2.24969
Expected LPN Staffing Hours per Resident per Day
0.68920
Expected RN Staffing Hours per Resident per Day
1.25408
Expected Total Nurse Staffing Hours per Resident per Day
4.19297
Adjusted CNA Staffing Hours per Resident per Day
1.83675
Adjusted LPN Staffing Hours per Resident per Day
1.08219
Adjusted RN Staffing Hours per Resident per Day
0.22674
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84867
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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