Fellowship Manor - Whitehall Nursing Home

General Information

UPDATE
Federal Provider Number
395763
Provider Name
FELLOWSHIP MANOR
Provider Address
3000 FELLOWSHIP DRIVE
WHITEHALL, PA 18052
Provider Phone Number
6107993000
Provider SSA County
470
Provider County Name
Lehigh
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BIBLE FELLOWSHIP CHURCH HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-08-26
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.10395
Reported LPN Staffing Hours per Resident per Day
0.27325
Reported RN Staffing Hours per Resident per Day
1.53553
Reported Licensed Staffing Hours per Resident per Day
1.80877
Reported Total Nurse Staffing Hours per Resident per Day
4.91273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13114
Expected CNA Staffing Hours per Resident per Day
2.84690
Expected LPN Staffing Hours per Resident per Day
0.77790
Expected RN Staffing Hours per Resident per Day
1.13255
Expected Total Nurse Staffing Hours per Resident per Day
4.75734
Adjusted CNA Staffing Hours per Resident per Day
2.67525
Adjusted LPN Staffing Hours per Resident per Day
0.29155
Adjusted RN Staffing Hours per Resident per Day
1.01307
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16256
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-21
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
2013-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
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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