Villa St Joseph - Garfield Heights Nursing Home
General Information
UPDATEFederal Provider Number
366335
Provider Name
VILLA ST JOSEPH
Provider Address
5200 MARYMOUNT VILLAGE DRIVE
GARFIELD HEIGHTS, OH 44125
GARFIELD HEIGHTS, OH 44125
Provider Phone Number
2163321100
Provider SSA County
170
Provider County Name
Cuyahoga
Ownership Type
Non profit - Church related
Number of Certified Beds
130
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE AT MARYMOUNT
Date First Approved to Provide Medicare and Medicaid services
2007-01-31
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.63899
Reported LPN Staffing Hours per Resident per Day
1.85596
Reported RN Staffing Hours per Resident per Day
2.47431
Reported Licensed Staffing Hours per Resident per Day
4.33028
Reported Total Nurse Staffing Hours per Resident per Day
7.96926
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25367
Expected CNA Staffing Hours per Resident per Day
2.41469
Expected LPN Staffing Hours per Resident per Day
0.77418
Expected RN Staffing Hours per Resident per Day
1.49915
Expected Total Nurse Staffing Hours per Resident per Day
4.68801
Adjusted CNA Staffing Hours per Resident per Day
3.69778
Adjusted LPN Staffing Hours per Resident per Day
1.98979
Adjusted RN Staffing Hours per Resident per Day
1.23324
Adjusted Total Nurse Staffing Hours per Resident per Day
6.85222
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
14.66700
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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