Conemaugh Memorial Medical Center Tcu - Johnstown Nursing Home
General Information
UPDATEFederal Provider Number
396102
Provider Name
CONEMAUGH MEMORIAL MEDICAL CENTER TCU
Provider Address
320 MAIN STREET
JOHNSTOWN, PA 15901
JOHNSTOWN, PA 15901
Provider Phone Number
(814) 534-6111
Provider SSA County
160
Provider County Name
Cambria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
21
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.28571
Reported LPN Staffing Hours per Resident per Day
1.56429
Reported RN Staffing Hours per Resident per Day
2.44762
Reported Licensed Staffing Hours per Resident per Day
4.01190
Reported Total Nurse Staffing Hours per Resident per Day
6.29762
Reported Physical Therapist Staffing Hours per Resident Per Day
0.54524
Expected CNA Staffing Hours per Resident per Day
2.31109
Expected LPN Staffing Hours per Resident per Day
0.77968
Expected RN Staffing Hours per Resident per Day
1.93684
Expected Total Nurse Staffing Hours per Resident per Day
5.02761
Adjusted CNA Staffing Hours per Resident per Day
2.42676
Adjusted LPN Staffing Hours per Resident per Day
1.66525
Adjusted RN Staffing Hours per Resident per Day
0.94425
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04913
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-08-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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