Forestview - Erie Nursing Home
General Information
UPDATEFederal Provider Number
395907
Provider Name
FORESTVIEW
Provider Address
2301 EDINBORO ROAD
ERIE, PA 16509
ERIE, PA 16509
Provider Phone Number
(814) 866-7002
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASBURY ATLANTIC, INC
Date First Approved to Provide Medicare and Medicaid services
1993-07-08
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.76733
Reported LPN Staffing Hours per Resident per Day
0.85333
Reported RN Staffing Hours per Resident per Day
0.96733
Reported Licensed Staffing Hours per Resident per Day
1.82067
Reported Total Nurse Staffing Hours per Resident per Day
4.58799
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07600
Expected CNA Staffing Hours per Resident per Day
2.59218
Expected LPN Staffing Hours per Resident per Day
0.59989
Expected RN Staffing Hours per Resident per Day
0.93344
Expected Total Nurse Staffing Hours per Resident per Day
4.12551
Adjusted CNA Staffing Hours per Resident per Day
2.61950
Adjusted LPN Staffing Hours per Resident per Day
1.18065
Adjusted RN Staffing Hours per Resident per Day
0.77433
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48277
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
12
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-05-10
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
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
2012-06-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
15.33300
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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