Elmwood Gardens - Erie Nursing Home

General Information

UPDATE
Federal Provider Number
395474
Provider Name
ELMWOOD GARDENS
Provider Address
2628 ELMWOOD AVENUE
ERIE, PA 16508
Provider Phone Number
8148644802
Provider SSA County
320
Provider County Name
Erie
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE
Date First Approved to Provide Medicare and Medicaid services
1980-07-17
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.60870
Reported LPN Staffing Hours per Resident per Day
1.16304
Reported RN Staffing Hours per Resident per Day
0.95217
Reported Licensed Staffing Hours per Resident per Day
2.11522
Reported Total Nurse Staffing Hours per Resident per Day
4.72391
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09674
Expected CNA Staffing Hours per Resident per Day
2.68523
Expected LPN Staffing Hours per Resident per Day
0.66700
Expected RN Staffing Hours per Resident per Day
1.21165
Expected Total Nurse Staffing Hours per Resident per Day
4.56387
Adjusted CNA Staffing Hours per Resident per Day
2.38377
Adjusted LPN Staffing Hours per Resident per Day
1.44727
Adjusted RN Staffing Hours per Resident per Day
0.58719
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17225
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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