Broad Mountain Nursing And Reh - Frackville Nursing Home
General Information
UPDATEFederal Provider Number
395286
Provider Name
BROAD MOUNTAIN NURSING AND REH
Provider Address
500 WEST LAUREL STREET
FRACKVILLE, PA 17931
FRACKVILLE, PA 17931
Provider Phone Number
(570) 874-0696
Provider SSA County
650
Provider County Name
Schuylkill
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN HEALTH FACILITIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-10-29
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29204
Reported LPN Staffing Hours per Resident per Day
0.81549
Reported RN Staffing Hours per Resident per Day
0.57566
Reported Licensed Staffing Hours per Resident per Day
1.39115
Reported Total Nurse Staffing Hours per Resident per Day
3.68319
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10133
Expected CNA Staffing Hours per Resident per Day
2.59409
Expected LPN Staffing Hours per Resident per Day
0.69550
Expected RN Staffing Hours per Resident per Day
1.15041
Expected Total Nurse Staffing Hours per Resident per Day
4.44001
Adjusted CNA Staffing Hours per Resident per Day
2.16800
Adjusted LPN Staffing Hours per Resident per Day
0.97319
Adjusted RN Staffing Hours per Resident per Day
0.37389
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34382
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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