Washington Square Healthcare Center - Warren Nursing Home
General Information
UPDATEFederal Provider Number
365784
Provider Name
WASHINGTON SQUARE HEALTHCARE CENTER
Provider Address
202 WASHINGTON STREET NW
WARREN, OH 44483
WARREN, OH 44483
Provider Phone Number
(330) 399-8997
Provider SSA County
790
Provider County Name
Trumbull
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
83
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBOR OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1990-03-22
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.19388
Reported LPN Staffing Hours per Resident per Day
0.64898
Reported RN Staffing Hours per Resident per Day
0.87347
Reported Licensed Staffing Hours per Resident per Day
1.52245
Reported Total Nurse Staffing Hours per Resident per Day
3.71633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01327
Expected CNA Staffing Hours per Resident per Day
2.10356
Expected LPN Staffing Hours per Resident per Day
0.60329
Expected RN Staffing Hours per Resident per Day
0.98653
Expected Total Nurse Staffing Hours per Resident per Day
3.69339
Adjusted CNA Staffing Hours per Resident per Day
2.55905
Adjusted LPN Staffing Hours per Resident per Day
0.89285
Adjusted RN Staffing Hours per Resident per Day
0.66157
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05594
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
2282
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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