Good Shepherd Home-bethlehem - Bethlehem Nursing Home
General Information
UPDATEFederal Provider Number
396108
Provider Name
GOOD SHEPHERD HOME-BETHLEHEM
Provider Address
2855 SCHOENERSVILLE ROAD
BETHLEHEM, PA 18017
BETHLEHEM, PA 18017
Provider Phone Number
6108075600
Provider SSA County
470
Provider County Name
Lehigh
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD HOME LONG TERM CARE FACILITY, INC
Date First Approved to Provide Medicare and Medicaid services
2007-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.92500
Reported LPN Staffing Hours per Resident per Day
0.77250
Reported RN Staffing Hours per Resident per Day
1.20333
Reported Licensed Staffing Hours per Resident per Day
1.97583
Reported Total Nurse Staffing Hours per Resident per Day
5.90083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23917
Expected CNA Staffing Hours per Resident per Day
2.89517
Expected LPN Staffing Hours per Resident per Day
0.95263
Expected RN Staffing Hours per Resident per Day
1.24667
Expected Total Nurse Staffing Hours per Resident per Day
5.09446
Adjusted CNA Staffing Hours per Resident per Day
3.32650
Adjusted LPN Staffing Hours per Resident per Day
0.67306
Adjusted RN Staffing Hours per Resident per Day
0.72122
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66892
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
12
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-03
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
8
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
15.33300
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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