Provider Name: MASTERNICK MEMORIAL HEALTH CARE CENTER
Address: 5250 WINDSOR WAY, NEW MIDDLETOWN, OH 44442
Phone: (330) 542-9542
County: Mahoning (510)
Ownership Type: For profit - Corporation
Certified Beds: 99
Average Residents Per Day: 89.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: OMNI MANOR, INC.
First Approved Date: July 1, 2009
Affiliated Entity: WINDSOR HOUSE, INC. (567)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.98738, LPN Staff Hours Per Day: 0.9076, RN Staff Hours Per Day: 0.4795, Licensed Staff Hours Per Day: 1.3872
Total Nurse Staff Hours Per Day, per resident: 3.37462
Weekend Nurse Staff Hours: 2.87058, Weekend RN Staff Hours: 0.2481
PT Staff Hours Per Day, per resident: 0.0347
Nurse Staff Turnover: 51.0, Nurse Turnover Note:
RN Turnover: 35.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2493, Case Mix LPN Hours Per Day: 0.7804, Case Mix RN Hours Per Day: 0.3931
Adjusted Nurse Aide Hours Per Day, per resident: 1.79995, Adjusted LPN Hours Per Day: 0.8583, Adjusted RN Hours Per Day: 0.4596
Total Adjusted Nurse Hours Per Day, per resident: 3.10757
Adjusted Weekend Nurse Hours Per Day, per resident: 2.64341
Health Survey Dates and Scores: Cycle 1: 2022-08-11 (Score: 0), Cycle 2: 2019-08-01 (Score: 0), Cycle 3: 2018-07-12 (Score: 8)
Total Weighted Health Score: 1.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 5250 WINDSOR WAY,NEW MIDDLETOWN,OH,44442 (40.9624, -80.555)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-08-10
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-15
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-15
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-14
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-08-10