Ball Pavilion, The - Erie Nursing Home

General Information

UPDATE
Federal Provider Number
395401
Provider Name
BALL PAVILION, THE
Provider Address
5416 EAST LAKE ROAD
ERIE, PA 16511
Provider Phone Number
8148998600
Provider SSA County
320
Provider County Name
Erie
Ownership Type
Non profit - Church related
Number of Certified Beds
85
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE BALL PAVILION
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56266
Reported LPN Staffing Hours per Resident per Day
0.79494
Reported RN Staffing Hours per Resident per Day
0.61456
Reported Licensed Staffing Hours per Resident per Day
1.40949
Reported Total Nurse Staffing Hours per Resident per Day
3.97216
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18038
Expected CNA Staffing Hours per Resident per Day
2.79946
Expected LPN Staffing Hours per Resident per Day
0.64495
Expected RN Staffing Hours per Resident per Day
1.01725
Expected Total Nurse Staffing Hours per Resident per Day
4.46166
Adjusted CNA Staffing Hours per Resident per Day
2.24615
Adjusted LPN Staffing Hours per Resident per Day
1.02303
Adjusted RN Staffing Hours per Resident per Day
0.45141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58866
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
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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