Dubois Nursing Home - Dubois Nursing Home

General Information

UPDATE
Federal Provider Number
395430
Provider Name
DUBOIS NURSING HOME
Provider Address
P O BOX 307
DUBOIS, PA 15801
Provider Phone Number
(814) 375-9100
Provider SSA County
230
Provider County Name
Clearfield
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DUBOIS CONTINUUM OF CARE COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.95591
Reported LPN Staffing Hours per Resident per Day
1.01850
Reported RN Staffing Hours per Resident per Day
1.11260
Reported Licensed Staffing Hours per Resident per Day
2.13110
Reported Total Nurse Staffing Hours per Resident per Day
5.08701
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04488
Expected CNA Staffing Hours per Resident per Day
2.66255
Expected LPN Staffing Hours per Resident per Day
0.73829
Expected RN Staffing Hours per Resident per Day
1.21870
Expected Total Nurse Staffing Hours per Resident per Day
4.61954
Adjusted CNA Staffing Hours per Resident per Day
2.72405
Adjusted LPN Staffing Hours per Resident per Day
1.14502
Adjusted RN Staffing Hours per Resident per Day
0.68215
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43881
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.00000
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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