Forest City Nursing And Rehab Center - Forest City Nursing Home
General Information
UPDATEFederal Provider Number
395554
Provider Name
FOREST CITY NURSING AND REHAB CENTER
Provider Address
915 DELAWARE STREET
FOREST CITY, PA 18421
FOREST CITY, PA 18421
Provider Phone Number
(570) 785-3005
Provider SSA County
700
Provider County Name
Susquehanna
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
132
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FCNRC, LP
Date First Approved to Provide Medicare and Medicaid services
1982-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.01719
Reported LPN Staffing Hours per Resident per Day
1.10625
Reported RN Staffing Hours per Resident per Day
0.65990
Reported Licensed Staffing Hours per Resident per Day
1.76615
Reported Total Nurse Staffing Hours per Resident per Day
3.78334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06198
Expected CNA Staffing Hours per Resident per Day
2.47776
Expected LPN Staffing Hours per Resident per Day
0.73631
Expected RN Staffing Hours per Resident per Day
1.23545
Expected Total Nurse Staffing Hours per Resident per Day
4.44951
Adjusted CNA Staffing Hours per Resident per Day
1.99761
Adjusted LPN Staffing Hours per Resident per Day
1.24701
Adjusted RN Staffing Hours per Resident per Day
0.39911
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42740
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
20
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
22.66700
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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