Evergreen Health And Rehabilitation Center - Harmony Nursing Home
General Information
UPDATEFederal Provider Number
395758
Provider Name
EVERGREEN HEALTH AND REHABILITATION CENTER
Provider Address
191 EVERGREEN MILL ROAD
HARMONY, PA 16037
HARMONY, PA 16037
Provider Phone Number
7244526970
Provider SSA County
150
Provider County Name
Butler
Ownership Type
For profit - Partnership
Number of Certified Beds
115
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RELIANT EVERGREEN HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1988-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
1.90273
Reported LPN Staffing Hours per Resident per Day
0.51091
Reported RN Staffing Hours per Resident per Day
0.74273
Reported Licensed Staffing Hours per Resident per Day
1.25364
Reported Total Nurse Staffing Hours per Resident per Day
3.15637
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05182
Expected CNA Staffing Hours per Resident per Day
2.75166
Expected LPN Staffing Hours per Resident per Day
0.80107
Expected RN Staffing Hours per Resident per Day
1.29420
Expected Total Nurse Staffing Hours per Resident per Day
4.84693
Adjusted CNA Staffing Hours per Resident per Day
1.69670
Adjusted LPN Staffing Hours per Resident per Day
0.52936
Adjusted RN Staffing Hours per Resident per Day
0.42881
Adjusted Total Nurse Staffing Hours per Resident per Day
2.62496
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-24
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.66700
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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