Cross Keys Village-brethren Home Community, The - New Oxford Nursing Home
General Information
UPDATEFederal Provider Number
395108
Provider Name
CROSS KEYS VILLAGE-BRETHREN HOME COMMUNITY, THE
Provider Address
BOX 128, 2990 CARLISLE PK
NEW OXFORD, PA 17350
NEW OXFORD, PA 17350
Provider Phone Number
(717) 624-2161
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
270
Number of Residents in Certified Beds
258
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE BRETHREN HOME COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.64845
Reported LPN Staffing Hours per Resident per Day
1.10736
Reported RN Staffing Hours per Resident per Day
0.61667
Reported Licensed Staffing Hours per Resident per Day
1.72403
Reported Total Nurse Staffing Hours per Resident per Day
4.37248
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08837
Expected CNA Staffing Hours per Resident per Day
2.67661
Expected LPN Staffing Hours per Resident per Day
0.67802
Expected RN Staffing Hours per Resident per Day
1.04102
Expected Total Nurse Staffing Hours per Resident per Day
4.39565
Adjusted CNA Staffing Hours per Resident per Day
2.42789
Adjusted LPN Staffing Hours per Resident per Day
1.35557
Adjusted RN Staffing Hours per Resident per Day
0.44262
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00965
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-21
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
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
90.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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