Wesleyan Village - Elyria Nursing Home

General Information

UPDATE
Federal Provider Number
365162
Provider Name
WESLEYAN VILLAGE
Provider Address
807 WEST AVE
ELYRIA, OH 44035
Provider Phone Number
4402849000
Provider SSA County
480
Provider County Name
Lorain
Ownership Type
Non profit - Church related
Number of Certified Beds
157
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEYAN VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1967-05-01
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34586
Reported LPN Staffing Hours per Resident per Day
0.73083
Reported RN Staffing Hours per Resident per Day
0.80451
Reported Licensed Staffing Hours per Resident per Day
1.53534
Reported Total Nurse Staffing Hours per Resident per Day
3.88120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.64081
Expected LPN Staffing Hours per Resident per Day
0.79412
Expected RN Staffing Hours per Resident per Day
1.26239
Expected Total Nurse Staffing Hours per Resident per Day
4.69731
Adjusted CNA Staffing Hours per Resident per Day
2.17965
Adjusted LPN Staffing Hours per Resident per Day
0.76385
Adjusted RN Staffing Hours per Resident per Day
0.47619
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33057
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
4
Cycle 2 Standard Health Survey Date
2013-06-25
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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