Overall Rating
SFF Candidate
Address
31 Maranatha Drive
Youngstown, OH 44505
Contact
3307465157
Certification Date
1991-01-05
CMS Certification Number
365831
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Average Number of Residents per Day
45.7
Provider Type
Medicare and Medicaid
Legal Business Name
BURGUNDI MANOR OPERATING COMPANY LLC
Affiliated Entity Name
HILLSTONE HEALTHCARE
Affiliated Entity ID
271
Health Inspection Rating
1
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.60432
Reported LPN Staffing Hours per Resident per Day
0.65675
Reported RN Staffing Hours per Resident per Day
0.64867
Reported Total Nurse Staffing Hours per Resident per Day
2.90975
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.64129
Registered Nurse Hours per Resident per Day on the Weekend
0.49383
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03385
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
209.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-02-25
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
3
Health Deficiency Score
236
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
236
Standard Health Survey Date
2019-09-04
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
5
Health Deficiency Score
241
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
241
Standard Health Survey Date
2018-07-03
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
1
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Number of Fines
1
Total Amount of Fines in Dollars
20322.25
Number of Payment Denials
1
Total Number of Penalties
2