Church Of The Brethren Home - Windber Nursing Home
General Information
UPDATEFederal Provider Number
395090
Provider Name
CHURCH OF THE BRETHREN HOME
Provider Address
277 HOFFMAN AVENUE
WINDBER, PA 15963
WINDBER, PA 15963
Provider Phone Number
(814) 467-5505
Provider SSA County
680
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
134
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHURCH OF THE BRETHREN HOME
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.65906
Reported LPN Staffing Hours per Resident per Day
1.50276
Reported RN Staffing Hours per Resident per Day
0.76496
Reported Licensed Staffing Hours per Resident per Day
2.26772
Reported Total Nurse Staffing Hours per Resident per Day
4.92678
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04488
Expected CNA Staffing Hours per Resident per Day
2.57027
Expected LPN Staffing Hours per Resident per Day
0.61539
Expected RN Staffing Hours per Resident per Day
0.95852
Expected Total Nurse Staffing Hours per Resident per Day
4.14418
Adjusted CNA Staffing Hours per Resident per Day
2.53846
Adjusted LPN Staffing Hours per Resident per Day
2.02682
Adjusted RN Staffing Hours per Resident per Day
0.59631
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79210
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
16
Cycle 2 Standard Health Survey Date
2014-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
38.66700
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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