Golden Livingcenter-west Shore - Camp Hill Nursing Home
General Information
UPDATEFederal Provider Number
395223
Provider Name
GOLDEN LIVINGCENTER-WEST SHORE
Provider Address
770 POPLAR CHURCH ROAD
CAMP HILL, PA 17011
CAMP HILL, PA 17011
Provider Phone Number
(717) 763-7070
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
309
Number of Residents in Certified Beds
199
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC CAMP HILL WEST SHORE LP
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.51935
Reported LPN Staffing Hours per Resident per Day
0.93367
Reported RN Staffing Hours per Resident per Day
0.52136
Reported Licensed Staffing Hours per Resident per Day
1.45503
Reported Total Nurse Staffing Hours per Resident per Day
3.97438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12990
Expected CNA Staffing Hours per Resident per Day
2.37415
Expected LPN Staffing Hours per Resident per Day
0.67202
Expected RN Staffing Hours per Resident per Day
1.22155
Expected Total Nurse Staffing Hours per Resident per Day
4.26772
Adjusted CNA Staffing Hours per Resident per Day
2.60377
Adjusted LPN Staffing Hours per Resident per Day
1.15316
Adjusted RN Staffing Hours per Resident per Day
0.31891
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75384
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
17
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
124.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
22
Number of Fines
1
Total Amount of Fines in Dollars
30843
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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