Bethany Village Retirement Center - Mechanicsburg Nursing Home

General Information

UPDATE
Federal Provider Number
395386
Provider Name
BETHANY VILLAGE RETIREMENT CENTER
Provider Address
5225 WILSON LANE
MECHANICSBURG, PA 17055
Provider Phone Number
7177660279
Provider SSA County
270
Provider County Name
Cumberland
Ownership Type
Government - County
Number of Certified Beds
69
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASBURY ATLANTIC, INC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.35294
Reported LPN Staffing Hours per Resident per Day
1.05882
Reported RN Staffing Hours per Resident per Day
0.73897
Reported Licensed Staffing Hours per Resident per Day
1.79779
Reported Total Nurse Staffing Hours per Resident per Day
4.15073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.77379
Expected LPN Staffing Hours per Resident per Day
0.61894
Expected RN Staffing Hours per Resident per Day
0.98596
Expected Total Nurse Staffing Hours per Resident per Day
4.37869
Adjusted CNA Staffing Hours per Resident per Day
2.08141
Adjusted LPN Staffing Hours per Resident per Day
1.41988
Adjusted RN Staffing Hours per Resident per Day
0.56002
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82105
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
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
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
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
0
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
48.66700
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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