Nursing Home

WESTERN RESERVE MASONIC COMM

Overall Rating

Address

4931 Nettleton Road

Medina, OH 44256

Contact

3307213000

Certification Date

2002-06-21

Details

CMS Certification Number

366240

Ownership Type

Non profit - Corporation

Number of Certified Beds

50

Average Number of Residents per Day

30.7

Provider Type

Medicare and Medicaid

Legal Business Name

THE OHIO MASONIC HOME

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

5

Quality Measure Rating

4

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.54547

Reported LPN Staffing Hours per Resident per Day

0.85253

Reported RN Staffing Hours per Resident per Day

1.18427

Reported Total Nurse Staffing Hours per Resident per Day

4.58227

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

4.14639

Registered Nurse Hours per Resident per Day on the Weekend

0.81355

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05441

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

13.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

3

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-08-25

Total Number of Health Deficiencies

2

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

2

Health Deficiency Score

8

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

8

Rating Cycle 2

Standard Health Survey Date

2019-08-22

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 3

Standard Health Survey Date

2018-06-28

Total Number of Health Deficiencies

0

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

0

Health Deficiency Score

0

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

0

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

8088.98

Number of Payment Denials

0

Total Number of Penalties

2