Ephrata Manor - Ephrata Nursing Home
General Information
UPDATEFederal Provider Number
395857
Provider Name
EPHRATA MANOR
Provider Address
99 BETHANY ROAD
EPHRATA, PA 17522
EPHRATA, PA 17522
Provider Phone Number
(717) 738-4940
Provider SSA County
440
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED CHURCH OF CHRIST HOMES
Date First Approved to Provide Medicare and Medicaid services
1991-08-07
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.72277
Reported LPN Staffing Hours per Resident per Day
0.71875
Reported RN Staffing Hours per Resident per Day
0.78304
Reported Licensed Staffing Hours per Resident per Day
1.50179
Reported Total Nurse Staffing Hours per Resident per Day
4.22456
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09330
Expected CNA Staffing Hours per Resident per Day
2.64140
Expected LPN Staffing Hours per Resident per Day
0.66442
Expected RN Staffing Hours per Resident per Day
1.17085
Expected Total Nurse Staffing Hours per Resident per Day
4.47666
Adjusted CNA Staffing Hours per Resident per Day
2.52929
Adjusted LPN Staffing Hours per Resident per Day
0.89788
Adjusted RN Staffing Hours per Resident per Day
0.49971
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80390
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
44
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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