Creekside Health And Rehabilitation Center - Carbondale Nursing Home
General Information
UPDATEFederal Provider Number
395984
Provider Name
CREEKSIDE HEALTH AND REHABILITATION CENTER
Provider Address
45 NORTH SCOTT STREET
CARBONDALE, PA 18407
CARBONDALE, PA 18407
Provider Phone Number
(570) 282-1099
Provider SSA County
420
Provider County Name
Lackawanna
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RELIANT OSPREY HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-04-26
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.01733
Reported LPN Staffing Hours per Resident per Day
1.11267
Reported RN Staffing Hours per Resident per Day
0.94467
Reported Licensed Staffing Hours per Resident per Day
2.05733
Reported Total Nurse Staffing Hours per Resident per Day
4.07467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06867
Expected CNA Staffing Hours per Resident per Day
2.53069
Expected LPN Staffing Hours per Resident per Day
0.74925
Expected RN Staffing Hours per Resident per Day
1.29947
Expected Total Nurse Staffing Hours per Resident per Day
4.57941
Adjusted CNA Staffing Hours per Resident per Day
1.95596
Adjusted LPN Staffing Hours per Resident per Day
1.23259
Adjusted RN Staffing Hours per Resident per Day
0.54319
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58661
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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