Andover Village Retirement Community
Andover Village Retirement Community Information
| Facility Name | Andover Village Retirement Community |
| Location | 486 S Main St, Andover, OH 44003 |
| County (SSA Code) | Ashtabula (30) |
| Phone Number | 440-293-5416 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 100 |
| Average Number of Residents | 82.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | ANDOVER VILLAGE RETIREMENT COMMUNITY, LTD |
| Ownership Type | For profit - Individual |
| Date First Approved | 1979-04-05 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.30922 |
| Reported LPN Staffing Hours per Resident per Day | 1.12082 |
| Reported RN Staffing - Hours per Resident per Day | 0.76202 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.88284 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.19205 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04597 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.12061 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.85207 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.88917 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.86186 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.46078 |
| Total Weighted Health Survey Score for three cycles | 16.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-04 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-15 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-09 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |