Cumberland Crossings Retirement Community - Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
395876
Provider Name
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY
Provider Address
1 LONGSDORF WAY
CARLISLE, PA 17013
CARLISLE, PA 17013
Provider Phone Number
(717) 245-9941
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
58
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIAKON LUTHERAN SOCIAL MINISTRIES
Date First Approved to Provide Medicare and Medicaid services
1992-05-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
1.96667
Reported LPN Staffing Hours per Resident per Day
0.61579
Reported RN Staffing Hours per Resident per Day
0.79123
Reported Licensed Staffing Hours per Resident per Day
1.40702
Reported Total Nurse Staffing Hours per Resident per Day
3.37369
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13246
Expected CNA Staffing Hours per Resident per Day
2.64085
Expected LPN Staffing Hours per Resident per Day
0.69127
Expected RN Staffing Hours per Resident per Day
1.13828
Expected Total Nurse Staffing Hours per Resident per Day
4.47039
Adjusted CNA Staffing Hours per Resident per Day
1.82730
Adjusted LPN Staffing Hours per Resident per Day
0.73937
Adjusted RN Staffing Hours per Resident per Day
0.51939
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04202
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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