Village At St Edward Nrsg Care - Fairlawn Nursing Home
General Information
UPDATEFederal Provider Number
365836
Provider Name
VILLAGE AT ST EDWARD NRSG CARE
Provider Address
3131 SMITH RD
FAIRLAWN, OH 44333
FAIRLAWN, OH 44333
Provider Phone Number
(330) 666-1183
Provider SSA County
780
Provider County Name
Summit
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. EDWARD HOME
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63797
Reported LPN Staffing Hours per Resident per Day
0.83861
Reported RN Staffing Hours per Resident per Day
0.79304
Reported Licensed Staffing Hours per Resident per Day
1.63165
Reported Total Nurse Staffing Hours per Resident per Day
4.26962
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07215
Expected CNA Staffing Hours per Resident per Day
2.82431
Expected LPN Staffing Hours per Resident per Day
0.66853
Expected RN Staffing Hours per Resident per Day
0.98755
Expected Total Nurse Staffing Hours per Resident per Day
4.48038
Adjusted CNA Staffing Hours per Resident per Day
2.29181
Adjusted LPN Staffing Hours per Resident per Day
1.04116
Adjusted RN Staffing Hours per Resident per Day
0.60003
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84128
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
38
Cycle 2 Total Health Score
114
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-08-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
3
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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