Charles Cole Memorial Hospital - Coudersport Nursing Home
General Information
UPDATEFederal Provider Number
395228
Provider Name
CHARLES COLE MEMORIAL HOSPITAL
Provider Address
1001 EAST SECOND STREET
COUDERSPORT, PA 16915
COUDERSPORT, PA 16915
Provider Phone Number
(814) 274-9300
Provider SSA County
640
Provider County Name
Potter
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHARLES COLE MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1968-02-15
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.40000
Reported LPN Staffing Hours per Resident per Day
1.56667
Reported RN Staffing Hours per Resident per Day
1.17692
Reported Licensed Staffing Hours per Resident per Day
2.74359
Reported Total Nurse Staffing Hours per Resident per Day
5.14359
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16154
Expected CNA Staffing Hours per Resident per Day
2.58754
Expected LPN Staffing Hours per Resident per Day
0.78697
Expected RN Staffing Hours per Resident per Day
1.27235
Expected Total Nurse Staffing Hours per Resident per Day
4.64685
Adjusted CNA Staffing Hours per Resident per Day
2.27586
Adjusted LPN Staffing Hours per Resident per Day
1.65234
Adjusted RN Staffing Hours per Resident per Day
0.69116
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46180
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
12
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
50
Cycle 2 Total Health Score
150
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
73.33300
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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Nursiong Homes Nearby
Sweden Valley Manor
1028 East Second Street |
COUDERSPORT PA 16915 | 0.6 mile away