Epworth Manor - Tyrone Nursing Home
General Information
UPDATEFederal Provider Number
395393
Provider Name
EPWORTH MANOR
Provider Address
951 WASHINGTON AVENUE
TYRONE, PA 16686
TYRONE, PA 16686
Provider Phone Number
(814) 684-0320
Provider SSA County
120
Provider County Name
Blair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ELDER CARE AT TYRONE I, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-11-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03021
Reported LPN Staffing Hours per Resident per Day
0.88438
Reported RN Staffing Hours per Resident per Day
0.60365
Reported Licensed Staffing Hours per Resident per Day
1.48802
Reported Total Nurse Staffing Hours per Resident per Day
3.51824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10781
Expected CNA Staffing Hours per Resident per Day
2.53330
Expected LPN Staffing Hours per Resident per Day
0.70893
Expected RN Staffing Hours per Resident per Day
1.32503
Expected Total Nurse Staffing Hours per Resident per Day
4.56726
Adjusted CNA Staffing Hours per Resident per Day
1.96642
Adjusted LPN Staffing Hours per Resident per Day
1.03541
Adjusted RN Staffing Hours per Resident per Day
0.34041
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10508
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
8
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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