Sunset Village - Sylvania Nursing Home
General Information
UPDATEFederal Provider Number
366242
Provider Name
SUNSET VILLAGE
Provider Address
9640 SYLVANIA-METAMORA ROAD
SYLVANIA, OH 43560
SYLVANIA, OH 43560
Provider Phone Number
(419) 724-1200
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNSET RETIREMENT COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
2002-03-20
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.05000
Reported LPN Staffing Hours per Resident per Day
0.66548
Reported RN Staffing Hours per Resident per Day
0.91905
Reported Licensed Staffing Hours per Resident per Day
1.58452
Reported Total Nurse Staffing Hours per Resident per Day
5.63453
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07857
Expected CNA Staffing Hours per Resident per Day
2.61036
Expected LPN Staffing Hours per Resident per Day
0.58837
Expected RN Staffing Hours per Resident per Day
0.91129
Expected Total Nurse Staffing Hours per Resident per Day
4.11002
Adjusted CNA Staffing Hours per Resident per Day
3.80695
Adjusted LPN Staffing Hours per Resident per Day
0.93878
Adjusted RN Staffing Hours per Resident per Day
0.75356
Adjusted Total Nurse Staffing Hours per Resident per Day
5.52606
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
16
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
48
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
22.66700
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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