Audubon Villa Health And Rehabilitation Center - Lititz Nursing Home

General Information

UPDATE
Federal Provider Number
395590
Provider Name
AUDUBON VILLA HEALTH AND REHABILITATION CENTER
Provider Address
125 SOUTH BROAD STREET
LITITZ, PA 17543
Provider Phone Number
7176260211
Provider SSA County
440
Provider County Name
Lancaster
Ownership Type
For profit - Partnership
Number of Certified Beds
42
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RELIANT AUDUBON HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1983-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.15769
Reported LPN Staffing Hours per Resident per Day
2.00000
Reported RN Staffing Hours per Resident per Day
1.85256
Reported Licensed Staffing Hours per Resident per Day
3.85256
Reported Total Nurse Staffing Hours per Resident per Day
8.01025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19744
Expected CNA Staffing Hours per Resident per Day
2.44104
Expected LPN Staffing Hours per Resident per Day
0.68553
Expected RN Staffing Hours per Resident per Day
1.15758
Expected Total Nurse Staffing Hours per Resident per Day
4.28414
Adjusted CNA Staffing Hours per Resident per Day
4.17925
Adjusted LPN Staffing Hours per Resident per Day
2.42150
Adjusted RN Staffing Hours per Resident per Day
1.19580
Adjusted Total Nurse Staffing Hours per Resident per Day
7.53675
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-12-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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