Canterbury Place - Pittsburgh Nursing Home
General Information
UPDATEFederal Provider Number
395146
Provider Name
CANTERBURY PLACE
Provider Address
310 FISK STREET
PITTSBURGH, PA 15201
PITTSBURGH, PA 15201
Provider Phone Number
(412) 622-9000
Provider SSA County
10
Provider County Name
Allegheny
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CANTERBURY PLACE
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.10400
Reported LPN Staffing Hours per Resident per Day
0.78200
Reported RN Staffing Hours per Resident per Day
1.19733
Reported Licensed Staffing Hours per Resident per Day
1.97933
Reported Total Nurse Staffing Hours per Resident per Day
4.08333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12400
Expected CNA Staffing Hours per Resident per Day
2.36582
Expected LPN Staffing Hours per Resident per Day
0.71128
Expected RN Staffing Hours per Resident per Day
1.28093
Expected Total Nurse Staffing Hours per Resident per Day
4.35803
Adjusted CNA Staffing Hours per Resident per Day
2.18216
Adjusted LPN Staffing Hours per Resident per Day
0.91252
Adjusted RN Staffing Hours per Resident per Day
0.69843
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77682
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
28
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
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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