Friendship Village Of South Hi - Pittsburgh Nursing Home

General Information

UPDATE
Federal Provider Number
395688
Provider Name
FRIENDSHIP VILLAGE OF SOUTH HI
Provider Address
1290 BOYCE ROAD
PITTSBURGH, PA 15241
Provider Phone Number
7249413100
Provider SSA County
10
Provider County Name
Allegheny
Ownership Type
Non profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFESPACE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
1985-01-29
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.25000
Reported LPN Staffing Hours per Resident per Day
0.79128
Reported RN Staffing Hours per Resident per Day
0.56860
Reported Licensed Staffing Hours per Resident per Day
1.35988
Reported Total Nurse Staffing Hours per Resident per Day
3.60988
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07209
Expected CNA Staffing Hours per Resident per Day
2.32238
Expected LPN Staffing Hours per Resident per Day
0.59011
Expected RN Staffing Hours per Resident per Day
0.87805
Expected Total Nurse Staffing Hours per Resident per Day
3.79054
Adjusted CNA Staffing Hours per Resident per Day
2.37723
Adjusted LPN Staffing Hours per Resident per Day
1.11294
Adjusted RN Staffing Hours per Resident per Day
0.48387
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83878
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-06
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2012-11-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.66700
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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