Balanced Care, Bloomsburg - Bloomsburg Nursing Home
General Information
UPDATEFederal Provider Number
395953
Provider Name
BALANCED CARE, BLOOMSBURG
Provider Address
3298 RIDGE ROAD
BLOOMSBURG, PA 17815
BLOOMSBURG, PA 17815
Provider Phone Number
(570) 784-6688
Provider SSA County
250
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AL BLOOMSBURG OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1995-06-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.93438
Reported LPN Staffing Hours per Resident per Day
0.72891
Reported RN Staffing Hours per Resident per Day
0.73047
Reported Licensed Staffing Hours per Resident per Day
1.45938
Reported Total Nurse Staffing Hours per Resident per Day
3.39376
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15625
Expected CNA Staffing Hours per Resident per Day
2.70300
Expected LPN Staffing Hours per Resident per Day
0.65997
Expected RN Staffing Hours per Resident per Day
1.05436
Expected Total Nurse Staffing Hours per Resident per Day
4.41733
Adjusted CNA Staffing Hours per Resident per Day
1.75597
Adjusted LPN Staffing Hours per Resident per Day
0.91670
Adjusted RN Staffing Hours per Resident per Day
0.51767
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09688
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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