Golden Livingcenter-william Penn - Lewistown Nursing Home
General Information
UPDATEFederal Provider Number
395335
Provider Name
GOLDEN LIVINGCENTER-WILLIAM PENN
Provider Address
163 SUMMIT DRIVE
LEWISTOWN, PA 17044
LEWISTOWN, PA 17044
Provider Phone Number
(717) 248-3941
Provider SSA County
540
Provider County Name
Mifflin
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
121
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC LEWISTOWN LP
Date First Approved to Provide Medicare and Medicaid services
1978-05-05
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.93220
Reported LPN Staffing Hours per Resident per Day
0.90042
Reported RN Staffing Hours per Resident per Day
0.55975
Reported Licensed Staffing Hours per Resident per Day
1.46017
Reported Total Nurse Staffing Hours per Resident per Day
3.39237
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05339
Expected CNA Staffing Hours per Resident per Day
2.57534
Expected LPN Staffing Hours per Resident per Day
0.71331
Expected RN Staffing Hours per Resident per Day
1.29783
Expected Total Nurse Staffing Hours per Resident per Day
4.58648
Adjusted CNA Staffing Hours per Resident per Day
1.84094
Adjusted LPN Staffing Hours per Resident per Day
1.04772
Adjusted RN Staffing Hours per Resident per Day
0.32227
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98144
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-05
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
24.00000
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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