Manorcare Health Svcs-belden Village
5005 Higbee Avenue Nw, Canton, OH 44718


Manorcare Health Svcs-belden Village is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 365324. The address is 5005 Higbee Avenue Nw, Canton, OH 44718. The zip code is 44718. The phone number is 3304927835.


Manorcare Health Svcs-belden Village · 5005 Higbee Avenue Nw, Canton, OH 44718

Federal Provider Number 365324
Provider Name MANORCARE HEALTH SVCS-BELDEN VILLAGE
Address 5005 HIGBEE AVENUE NW
CANTON, OH 44718
Phone Number 3304927835
SSA County Code 770
County Name Stark
Ownership Type For profit - Corporation
Certified Beds 139
Certified Beds Residents 89
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
Date First Approved to Provide Medicare Medicaid Services 03/31/1974
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.57303
Reported LPN Staffing Hours per Resident per Day 0.79775
Reported RN Staffing Hours per Resident per Day 0.50056
Reported Licensed Staffing Hours per Resident per Day 1.29831
Reported Total Nurse Staffing Hours per Resident per Day 2.87134
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06573
Expected CNA Staffing Hours per Resident per Day 2.2817
Expected LPN Staffing Hours per Resident per Day 0.69855
Expected RN Staffing Hours per Resident per Day 1.19573
Expected Total Nurse Staffing Hours per Resident per Day 4.17598
Adjusted CNA Staffing Hours per Resident per Day 1.69161
Adjusted LPN Staffing Hours per Resident per Day 0.94787
Adjusted RN Staffing Hours per Resident per Day 0.31279
Adjusted Total Nurse Staffing Hours per Resident per Day 2.77159
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 03/09/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 80
Cycle 2 Standard Health Survey Date 01/08/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 80
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 10
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 09/25/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 76
Number of Substantiated Complaints 15
Number of Fines 1
Total Amount of Fines in Dollars $12285.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Manorcare Health Svcs-belden Village

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 07/02/2012
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
DENNIE, ROBERT (Individual) MANAGING EMPLOYEE since 08/15/2016
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR IV HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/20/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/20/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 01/01/2010
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 07/02/2012
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2007
PARKER, DAVID (Individual) OFFICER since 09/15/2011
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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