Elk Haven Nursing Home - Saint Marys Nursing Home
General Information
UPDATEFederal Provider Number
395341
Provider Name
ELK HAVEN NURSING HOME
Provider Address
785 JOHNSONBURG ROAD
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
Provider Phone Number
(814) 234-2618
Provider SSA County
310
Provider County Name
Elk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELK HAVEN NURSING HOME ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1975-08-13
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.10678
Reported LPN Staffing Hours per Resident per Day
0.75424
Reported RN Staffing Hours per Resident per Day
0.66610
Reported Licensed Staffing Hours per Resident per Day
1.42034
Reported Total Nurse Staffing Hours per Resident per Day
3.52712
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10169
Expected CNA Staffing Hours per Resident per Day
2.53238
Expected LPN Staffing Hours per Resident per Day
0.68773
Expected RN Staffing Hours per Resident per Day
1.17867
Expected Total Nurse Staffing Hours per Resident per Day
4.39878
Adjusted CNA Staffing Hours per Resident per Day
2.04132
Adjusted LPN Staffing Hours per Resident per Day
0.91027
Adjusted RN Staffing Hours per Resident per Day
0.42227
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23214
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-24
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
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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