Green Home, Inc, The - Wellsboro Nursing Home
General Information
UPDATEFederal Provider Number
395318
Provider Name
GREEN HOME, INC, THE
Provider Address
37 CENTRAL AVENUE
WELLSBORO, PA 16901
WELLSBORO, PA 16901
Provider Phone Number
(570) 724-3131
Provider SSA County
710
Provider County Name
Tioga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREEN HOME
Date First Approved to Provide Medicare and Medicaid services
1974-10-28
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.66300
Reported LPN Staffing Hours per Resident per Day
0.98350
Reported RN Staffing Hours per Resident per Day
0.62250
Reported Licensed Staffing Hours per Resident per Day
1.60600
Reported Total Nurse Staffing Hours per Resident per Day
4.26900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09850
Expected CNA Staffing Hours per Resident per Day
2.60324
Expected LPN Staffing Hours per Resident per Day
0.66449
Expected RN Staffing Hours per Resident per Day
1.06004
Expected Total Nurse Staffing Hours per Resident per Day
4.32777
Adjusted CNA Staffing Hours per Resident per Day
2.51002
Adjusted LPN Staffing Hours per Resident per Day
1.22847
Adjusted RN Staffing Hours per Resident per Day
0.43879
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97616
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
32
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
44.00000
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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