Forest Park Health Center - Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
395270
Provider Name
FOREST PARK HEALTH CENTER
Provider Address
700 WALNUT BOTTOM ROAD
CARLISLE, PA 17013
CARLISLE, PA 17013
Provider Phone Number
(717) 243-1032
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ELDER CARE AT CARLISLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-07-29
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.90045
Reported LPN Staffing Hours per Resident per Day
0.77409
Reported RN Staffing Hours per Resident per Day
0.52136
Reported Licensed Staffing Hours per Resident per Day
1.29545
Reported Total Nurse Staffing Hours per Resident per Day
3.19590
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09409
Expected CNA Staffing Hours per Resident per Day
2.46588
Expected LPN Staffing Hours per Resident per Day
0.65246
Expected RN Staffing Hours per Resident per Day
1.21629
Expected Total Nurse Staffing Hours per Resident per Day
4.33463
Adjusted CNA Staffing Hours per Resident per Day
1.89106
Adjusted LPN Staffing Hours per Resident per Day
0.98472
Adjusted RN Staffing Hours per Resident per Day
0.32029
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97196
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-19
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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