Frey Village - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
395347
Provider Name
FREY VILLAGE
Provider Address
1020 NORTH UNION STREET
MIDDLETOWN, PA 17057
MIDDLETOWN, PA 17057
Provider Phone Number
(717) 944-0451
Provider SSA County
280
Provider County Name
Dauphin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
136
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIAKON LUTHERAN SOCIAL MINISTRIES
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.45462
Reported LPN Staffing Hours per Resident per Day
0.69885
Reported RN Staffing Hours per Resident per Day
0.84346
Reported Licensed Staffing Hours per Resident per Day
1.54231
Reported Total Nurse Staffing Hours per Resident per Day
3.99693
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06115
Expected CNA Staffing Hours per Resident per Day
2.60874
Expected LPN Staffing Hours per Resident per Day
0.68120
Expected RN Staffing Hours per Resident per Day
1.08272
Expected Total Nurse Staffing Hours per Resident per Day
4.37266
Adjusted CNA Staffing Hours per Resident per Day
2.30874
Adjusted LPN Staffing Hours per Resident per Day
0.85150
Adjusted RN Staffing Hours per Resident per Day
0.58208
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68454
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
54
Cycle 2 Total Health Score
162
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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