Berwick Retirement Village Nrs - Berwick Nursing Home
General Information
UPDATEFederal Provider Number
395421
Provider Name
BERWICK RETIREMENT VILLAGE NRS
Provider Address
801 EAST 16TH STREET
BERWICK, PA 18603
BERWICK, PA 18603
Provider Phone Number
(570) 759-5400
Provider SSA County
250
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
159
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BERWICK HOSPITAL COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1978-10-25
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
1.97673
Reported LPN Staffing Hours per Resident per Day
0.88931
Reported RN Staffing Hours per Resident per Day
0.49403
Reported Licensed Staffing Hours per Resident per Day
1.38333
Reported Total Nurse Staffing Hours per Resident per Day
3.36007
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09874
Expected CNA Staffing Hours per Resident per Day
2.57679
Expected LPN Staffing Hours per Resident per Day
0.61990
Expected RN Staffing Hours per Resident per Day
0.94650
Expected Total Nurse Staffing Hours per Resident per Day
4.14319
Adjusted CNA Staffing Hours per Resident per Day
1.88230
Adjusted LPN Staffing Hours per Resident per Day
1.19073
Adjusted RN Staffing Hours per Resident per Day
0.39001
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26901
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
42
Cycle 1 Total Health Score
126
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
40
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
83.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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