Corry Manor - Corry Nursing Home

General Information

UPDATE
Federal Provider Number
395489
Provider Name
CORRY MANOR
Provider Address
640 WORTH STREET
CORRY, PA 16407
Provider Phone Number
8146649606
Provider SSA County
320
Provider County Name
Erie
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF CORRY, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-01-01
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.20405
Reported LPN Staffing Hours per Resident per Day
0.86216
Reported RN Staffing Hours per Resident per Day
0.67883
Reported Licensed Staffing Hours per Resident per Day
1.54099
Reported Total Nurse Staffing Hours per Resident per Day
3.74504
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05676
Expected CNA Staffing Hours per Resident per Day
2.58025
Expected LPN Staffing Hours per Resident per Day
0.73412
Expected RN Staffing Hours per Resident per Day
1.34692
Expected Total Nurse Staffing Hours per Resident per Day
4.66128
Adjusted CNA Staffing Hours per Resident per Day
2.09595
Adjusted LPN Staffing Hours per Resident per Day
0.97477
Adjusted RN Staffing Hours per Resident per Day
0.37658
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23857
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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