Cedar Haven Healthcare Center - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
395770
Provider Name
CEDAR HAVEN HEALTHCARE CENTER
Provider Address
590 SOUTH FIFTH AVENUE
LEBANON, PA 17042
LEBANON, PA 17042
Provider Phone Number
(717) 274-0421
Provider SSA County
460
Provider County Name
Lebanon
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
324
Number of Residents in Certified Beds
294
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDAR HAVEN ACQUISITION LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84354
Reported LPN Staffing Hours per Resident per Day
1.09711
Reported RN Staffing Hours per Resident per Day
0.46190
Reported Licensed Staffing Hours per Resident per Day
1.55901
Reported Total Nurse Staffing Hours per Resident per Day
4.40255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03469
Expected CNA Staffing Hours per Resident per Day
2.49827
Expected LPN Staffing Hours per Resident per Day
0.62420
Expected RN Staffing Hours per Resident per Day
0.93529
Expected Total Nurse Staffing Hours per Resident per Day
4.05776
Adjusted CNA Staffing Hours per Resident per Day
2.79281
Adjusted LPN Staffing Hours per Resident per Day
1.45883
Adjusted RN Staffing Hours per Resident per Day
0.36901
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37341
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.66700
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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