Cornwall Manor - Cornwall Nursing Home
General Information
UPDATEFederal Provider Number
395180
Provider Name
CORNWALL MANOR
Provider Address
BOYD STREET
CORNWALL, PA 17016
CORNWALL, PA 17016
Provider Phone Number
(717) 273-2647
Provider SSA County
460
Provider County Name
Lebanon
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
104
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNWALL MANOR
Date First Approved to Provide Medicare and Medicaid services
1967-03-13
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.66667
Reported LPN Staffing Hours per Resident per Day
1.32135
Reported RN Staffing Hours per Resident per Day
0.48802
Reported Licensed Staffing Hours per Resident per Day
1.80938
Reported Total Nurse Staffing Hours per Resident per Day
4.47604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15469
Expected CNA Staffing Hours per Resident per Day
2.55229
Expected LPN Staffing Hours per Resident per Day
0.59292
Expected RN Staffing Hours per Resident per Day
0.98258
Expected Total Nurse Staffing Hours per Resident per Day
4.12780
Adjusted CNA Staffing Hours per Resident per Day
2.56366
Adjusted LPN Staffing Hours per Resident per Day
1.84969
Adjusted RN Staffing Hours per Resident per Day
0.37111
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37097
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2014-03-21
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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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