Foxdale Village - State College Nursing Home
General Information
UPDATEFederal Provider Number
395838
Provider Name
FOXDALE VILLAGE
Provider Address
500 E. MARYLYN AVENUE
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
Provider Phone Number
(814) 238-3322
Provider SSA County
200
Provider County Name
Centre
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
44
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FOXDALE VILLAGE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1990-09-19
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.64432
Reported LPN Staffing Hours per Resident per Day
1.35568
Reported RN Staffing Hours per Resident per Day
0.71250
Reported Licensed Staffing Hours per Resident per Day
2.06818
Reported Total Nurse Staffing Hours per Resident per Day
4.71250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22614
Expected CNA Staffing Hours per Resident per Day
2.26456
Expected LPN Staffing Hours per Resident per Day
0.56797
Expected RN Staffing Hours per Resident per Day
0.79930
Expected Total Nurse Staffing Hours per Resident per Day
3.63183
Adjusted CNA Staffing Hours per Resident per Day
2.86518
Adjusted LPN Staffing Hours per Resident per Day
1.98112
Adjusted RN Staffing Hours per Resident per Day
0.66605
Adjusted Total Nurse Staffing Hours per Resident per Day
5.23031
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
32
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-05-23
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
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
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
27.33300
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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