Buffalo Valley Lutheran Villag - Lewisburg Nursing Home
General Information
UPDATEFederal Provider Number
395261
Provider Name
BUFFALO VALLEY LUTHERAN VILLAG
Provider Address
189 EAST TRESSLER BOULEVARD
LEWISBURG, PA 17837
LEWISBURG, PA 17837
Provider Phone Number
(570) 524-2221
Provider SSA County
720
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
102
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIAKON LUTHERAN SOCIAL MINISTRIES
Date First Approved to Provide Medicare and Medicaid services
1975-05-17
Continuing Care Retirement Community
Y
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
2.53673
Reported LPN Staffing Hours per Resident per Day
1.07296
Reported RN Staffing Hours per Resident per Day
0.58367
Reported Licensed Staffing Hours per Resident per Day
1.65663
Reported Total Nurse Staffing Hours per Resident per Day
4.19336
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10204
Expected CNA Staffing Hours per Resident per Day
2.63634
Expected LPN Staffing Hours per Resident per Day
0.66833
Expected RN Staffing Hours per Resident per Day
1.11693
Expected Total Nurse Staffing Hours per Resident per Day
4.42159
Adjusted CNA Staffing Hours per Resident per Day
2.36099
Adjusted LPN Staffing Hours per Resident per Day
1.33252
Adjusted RN Staffing Hours per Resident per Day
0.39046
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82283
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
36
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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