Pennsylvania Nursing Homes >> Annville Nursing Homes >> Countryside Christian Community

Countryside Christian Community - Annville Nursing Home

General Information

UPDATE
Federal Provider Number
395681
Provider Name
COUNTRYSIDE CHRISTIAN COMMUNITY
Provider Address
200 BELLANN COURT
ANNVILLE, PA 17003
Provider Phone Number
(717) 867-4636
Provider SSA County
460
Provider County Name
Lebanon
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRYSIDE CHRISTIAN COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1984-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
3.22727
Reported LPN Staffing Hours per Resident per Day
1.07121
Reported RN Staffing Hours per Resident per Day
1.40758
Reported Licensed Staffing Hours per Resident per Day
2.47879
Reported Total Nurse Staffing Hours per Resident per Day
5.70606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20606
Expected CNA Staffing Hours per Resident per Day
2.80350
Expected LPN Staffing Hours per Resident per Day
0.67655
Expected RN Staffing Hours per Resident per Day
1.00711
Expected Total Nurse Staffing Hours per Resident per Day
4.48716
Adjusted CNA Staffing Hours per Resident per Day
2.82459
Adjusted LPN Staffing Hours per Resident per Day
1.31417
Adjusted RN Staffing Hours per Resident per Day
1.04432
Adjusted Total Nurse Staffing Hours per Resident per Day
5.12586
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
2015-02-05
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
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
2014-03-06
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.66700
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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