Bethany Nursing Home, Inc
626 34th Street, Nw, Canton, OH 44709


Bethany Nursing Home, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 366334. The address is 626 34th Street, Nw, Canton, OH 44709. The zip code is 44709. The phone number is 3304927171.


Bethany Nursing Home, Inc · 626 34th Street, Nw, Canton, OH 44709

Federal Provider Number 366334
Provider Name BETHANY NURSING HOME, INC
Address 626 34TH STREET, NW
CANTON, OH 44709
Phone Number 3304927171
SSA County Code 770
County Name Stark
Ownership Type For profit - Corporation
Certified Beds 76
Certified Beds Residents 67
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BETHANY NURSING HOME, INC.
Date First Approved to Provide Medicare Medicaid Services 01/01/2007
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.46642
Reported LPN Staffing Hours per Resident per Day 1.19328
Reported RN Staffing Hours per Resident per Day 1.37313
Reported Licensed Staffing Hours per Resident per Day 2.56642
Reported Total Nurse Staffing Hours per Resident per Day 6.03283
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02015
Expected CNA Staffing Hours per Resident per Day 2.66371
Expected LPN Staffing Hours per Resident per Day 0.68475
Expected RN Staffing Hours per Resident per Day 1.12987
Expected Total Nurse Staffing Hours per Resident per Day 4.47833
Adjusted CNA Staffing Hours per Resident per Day 3.19312
Adjusted LPN Staffing Hours per Resident per Day 1.44639
Adjusted RN Staffing Hours per Resident per Day 0.90807
Adjusted Total Nurse Staffing Hours per Resident per Day 5.43008
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 08/25/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Standard Health Survey Date 06/11/2015
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 03/13/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 23.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bethany Nursing Home, Inc

Owner Name Role Association Date
BAUM, ELIZABETH (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
32%
since 11/15/1980
BAUM, ELIZABETH (Individual) DIRECTOR since 11/15/1980
BAUM, ELIZABETH (Individual) OFFICER since 11/15/1980
BAUM, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
32%
since 11/15/1980
BAUM, JOHN (Individual) DIRECTOR since 11/15/1980
BAUM, JOHN (Individual) MANAGING EMPLOYEE since 11/15/1980
BAUM, JOHN (Individual) OFFICER since 11/15/1980
BAUM, MARY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 11/15/1980
BAUM, ROBERT (Individual) OFFICER since 12/02/2014
BAUM-BEIGIE, ABBEY (Individual) OFFICER since 12/02/2014
KELLY, SUSAN (Individual) MANAGING EMPLOYEE since 05/27/2003
LENOS, BONNIE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 11/15/1980
PREMIER BANK & TRUST (Organization) 5% OR GREATER MORTGAGE INTEREST since 06/13/2013
WILHELM, JOYCE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 11/15/1980

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