Bucktail Medical Center - Renovo Nursing Home
General Information
UPDATEFederal Provider Number
395448
Provider Name
BUCKTAIL MEDICAL CENTER
Provider Address
1001 PINE STREET
RENOVO, PA 17764
RENOVO, PA 17764
Provider Phone Number
(570) 923-1000
Provider SSA County
240
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BUCKTAIL MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1979-07-31
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15147
Reported LPN Staffing Hours per Resident per Day
0.96176
Reported RN Staffing Hours per Resident per Day
0.80147
Reported Licensed Staffing Hours per Resident per Day
1.76324
Reported Total Nurse Staffing Hours per Resident per Day
3.91470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00147
Expected CNA Staffing Hours per Resident per Day
2.23230
Expected LPN Staffing Hours per Resident per Day
0.58309
Expected RN Staffing Hours per Resident per Day
0.78211
Expected Total Nurse Staffing Hours per Resident per Day
3.59750
Adjusted CNA Staffing Hours per Resident per Day
2.36486
Adjusted LPN Staffing Hours per Resident per Day
1.36901
Adjusted RN Staffing Hours per Resident per Day
0.76570
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38632
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
28
Cycle 2 Total Health Score
84
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
44
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
53.33300
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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