University Manor Health & Reha - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
365832
Provider Name
UNIVERSITY MANOR HEALTH & REHA
Provider Address
2186 AMBLESIDE RD
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Provider Phone Number
(216) 721-1400
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY MANOR HEALTHCARE GROUP, INC
Date First Approved to Provide Medicare and Medicaid services
1991-04-05
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
1.83673
Reported LPN Staffing Hours per Resident per Day
0.97959
Reported RN Staffing Hours per Resident per Day
0.37313
Reported Licensed Staffing Hours per Resident per Day
1.35272
Reported Total Nurse Staffing Hours per Resident per Day
3.18945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03503
Expected CNA Staffing Hours per Resident per Day
1.98941
Expected LPN Staffing Hours per Resident per Day
0.58414
Expected RN Staffing Hours per Resident per Day
1.16846
Expected Total Nurse Staffing Hours per Resident per Day
3.74201
Adjusted CNA Staffing Hours per Resident per Day
2.26538
Adjusted LPN Staffing Hours per Resident per Day
1.39189
Adjusted RN Staffing Hours per Resident per Day
0.23861
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43568
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
40
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
103
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
103
Total Weighted Health Survey Score
87.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
9100
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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