Countryside Conval Home Ltd Pa - Mercer Nursing Home
General Information
UPDATEFederal Provider Number
395879
Provider Name
COUNTRYSIDE CONVAL HOME LTD PA
Provider Address
8221 LAMOR ROAD
MERCER, PA 16137
MERCER, PA 16137
Provider Phone Number
7246625860
Provider SSA County
530
Provider County Name
Mercer
Ownership Type
For profit - Partnership
Number of Certified Beds
48
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRYSIDE CONVALESCENT HOME LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1992-09-11
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.96739
Reported LPN Staffing Hours per Resident per Day
0.56630
Reported RN Staffing Hours per Resident per Day
0.87826
Reported Licensed Staffing Hours per Resident per Day
1.44457
Reported Total Nurse Staffing Hours per Resident per Day
3.41195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06087
Expected CNA Staffing Hours per Resident per Day
2.65993
Expected LPN Staffing Hours per Resident per Day
0.66140
Expected RN Staffing Hours per Resident per Day
1.19210
Expected Total Nurse Staffing Hours per Resident per Day
4.51343
Adjusted CNA Staffing Hours per Resident per Day
1.81486
Adjusted LPN Staffing Hours per Resident per Day
0.71066
Adjusted RN Staffing Hours per Resident per Day
0.55049
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04718
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-06
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
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
Nursiong Homes Nearby
Avalon Springs Nursing Center
745 Greenville Road |
MERCER PA 16137 | 1.2 miles away
Hospitality Care Center Of Her
3726 East State Street |
HERMITAGE PA 16148 | 9.2 miles away
Trinity Living Center
400 Hillcrest Avenue |
GROVE CITY PA 16127 | 10.4 miles away
Saint John Xxiii Home
2250 Shenango Freeway |
HERMITAGE PA 16148 | 10.4 miles away
Grove City Medical Center Tcc
631 North Broad St |
GROVE CITY PA 16127 | 10.5 miles away
Grove Manor
435 North Broad Street |
GROVE CITY PA 16127 | 10.6 miles away
Nugent Convalescent Home
500 Clarksville Road |
HERMITAGE PA 16148 | 10.7 miles away
Orchard Manor, Inc
20 Orchard Drive |
GROVE CITY PA 16127 | 11.4 miles away
Clepper Manor
959 East State Street |
SHARON PA 16146 | 11.8 miles away
Sharon Regional Health System Tcu
740 E. State Street |
SHARON PA 16146 | 12 miles away
Saint Paul Homes
339 East Jamestown Road |
GREENVILLE PA 16125 | 15.3 miles away
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