Willows Health And Rehab Ctr - Euclid Nursing Home
General Information
UPDATEFederal Provider Number
365670
Provider Name
WILLOWS HEALTH AND REHAB CTR
Provider Address
1500 E 191ST ST
EUCLID, OH 44117
EUCLID, OH 44117
Provider Phone Number
(216) 486-8880
Provider SSA County
170
Provider County Name
Cuyahoga
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INDIAN HILLS HEALTHCARE GROUP, INC.
Date First Approved to Provide Medicare and Medicaid services
1986-02-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.10800
Reported LPN Staffing Hours per Resident per Day
0.86750
Reported RN Staffing Hours per Resident per Day
0.51550
Reported Licensed Staffing Hours per Resident per Day
1.38300
Reported Total Nurse Staffing Hours per Resident per Day
3.49100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05850
Expected CNA Staffing Hours per Resident per Day
2.36480
Expected LPN Staffing Hours per Resident per Day
0.77407
Expected RN Staffing Hours per Resident per Day
1.40700
Expected Total Nurse Staffing Hours per Resident per Day
4.54586
Adjusted CNA Staffing Hours per Resident per Day
2.18725
Adjusted LPN Staffing Hours per Resident per Day
0.93018
Adjusted RN Staffing Hours per Resident per Day
0.27376
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09553
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
28
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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