Edinboro Manor - Edinboro Nursing Home
General Information
UPDATEFederal Provider Number
395645
Provider Name
EDINBORO MANOR
Provider Address
419 WATERFORD STREET
EDINBORO, PA 16412
EDINBORO, PA 16412
Provider Phone Number
(814) 734-5021
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF EDINBORO, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-03-27
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35940
Reported LPN Staffing Hours per Resident per Day
0.73718
Reported RN Staffing Hours per Resident per Day
0.58504
Reported Licensed Staffing Hours per Resident per Day
1.32222
Reported Total Nurse Staffing Hours per Resident per Day
3.68162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02564
Expected CNA Staffing Hours per Resident per Day
2.50082
Expected LPN Staffing Hours per Resident per Day
0.65885
Expected RN Staffing Hours per Resident per Day
1.12980
Expected Total Nurse Staffing Hours per Resident per Day
4.28948
Adjusted CNA Staffing Hours per Resident per Day
2.31494
Adjusted LPN Staffing Hours per Resident per Day
0.92867
Adjusted RN Staffing Hours per Resident per Day
0.38692
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45968
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
58.66700
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
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