Ellen Memorial Health Care Center - Honesdale Nursing Home
General Information
UPDATEFederal Provider Number
395357
Provider Name
ELLEN MEMORIAL HEALTH CARE CENTER
Provider Address
23 ELLEN MEMORIAL LANE
HONESDALE, PA 18431
HONESDALE, PA 18431
Provider Phone Number
(570) 253-5690
Provider SSA County
760
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELLEN MEMORIAL HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1976-09-21
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
2
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
2.50048
Reported LPN Staffing Hours per Resident per Day
0.64567
Reported RN Staffing Hours per Resident per Day
0.70625
Reported Licensed Staffing Hours per Resident per Day
1.35192
Reported Total Nurse Staffing Hours per Resident per Day
3.85240
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10288
Expected CNA Staffing Hours per Resident per Day
2.59910
Expected LPN Staffing Hours per Resident per Day
0.67110
Expected RN Staffing Hours per Resident per Day
1.07519
Expected Total Nurse Staffing Hours per Resident per Day
4.34540
Adjusted CNA Staffing Hours per Resident per Day
2.36059
Adjusted LPN Staffing Hours per Resident per Day
0.79855
Adjusted RN Staffing Hours per Resident per Day
0.49081
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57358
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
36
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
38
Cycle 2 Total Health Score
114
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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