Calvary Fellowship Homes Inc - Lancaster Nursing Home
General Information
UPDATEFederal Provider Number
395349
Provider Name
CALVARY FELLOWSHIP HOMES INC
Provider Address
502 ELIZABETH DRIVE
LANCASTER, PA 17601
LANCASTER, PA 17601
Provider Phone Number
(717) 393-0711
Provider SSA County
440
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALVARY FELLOWSHIP HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.64884
Reported LPN Staffing Hours per Resident per Day
0.35581
Reported RN Staffing Hours per Resident per Day
1.22093
Reported Licensed Staffing Hours per Resident per Day
1.57674
Reported Total Nurse Staffing Hours per Resident per Day
4.22558
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12907
Expected CNA Staffing Hours per Resident per Day
2.68693
Expected LPN Staffing Hours per Resident per Day
0.63352
Expected RN Staffing Hours per Resident per Day
0.94452
Expected Total Nurse Staffing Hours per Resident per Day
4.26497
Adjusted CNA Staffing Hours per Resident per Day
2.41892
Adjusted LPN Staffing Hours per Resident per Day
0.46616
Adjusted RN Staffing Hours per Resident per Day
0.96587
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99367
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
12.00000
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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