Sylvania Center - Sylvania Nursing Home
General Information
UPDATEFederal Provider Number
365898
Provider Name
SYLVANIA CENTER
Provider Address
5757 WHITEFORD RD
SYLVANIA, OH 43560
SYLVANIA, OH 43560
Provider Phone Number
(419) 882-1875
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE SYLVANIA, LLC
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
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
1.87481
Reported LPN Staffing Hours per Resident per Day
0.84046
Reported RN Staffing Hours per Resident per Day
0.45763
Reported Licensed Staffing Hours per Resident per Day
1.29809
Reported Total Nurse Staffing Hours per Resident per Day
3.17290
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03588
Expected CNA Staffing Hours per Resident per Day
2.41645
Expected LPN Staffing Hours per Resident per Day
0.68991
Expected RN Staffing Hours per Resident per Day
1.18455
Expected Total Nurse Staffing Hours per Resident per Day
4.29092
Adjusted CNA Staffing Hours per Resident per Day
1.90371
Adjusted LPN Staffing Hours per Resident per Day
1.01111
Adjusted RN Staffing Hours per Resident per Day
0.28867
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98063
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-15
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-02-07
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
4
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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