Green Valley Skilled Nursing And Rehabilitation Ce - Pitman Nursing Home
General Information
UPDATEFederal Provider Number
396086
Provider Name
GREEN VALLEY SKILLED NURSING AND REHABILITATION CE
Provider Address
200 TAYLORSVILLE MOUNTAIN ROAD
PITMAN, PA 17964
PITMAN, PA 17964
Provider Phone Number
(570) 644-0489
Provider SSA County
650
Provider County Name
Schuylkill
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HUNTINGDON NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-03-11
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.13077
Reported LPN Staffing Hours per Resident per Day
0.57692
Reported RN Staffing Hours per Resident per Day
1.19423
Reported Licensed Staffing Hours per Resident per Day
1.77115
Reported Total Nurse Staffing Hours per Resident per Day
3.90192
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05577
Expected CNA Staffing Hours per Resident per Day
2.55868
Expected LPN Staffing Hours per Resident per Day
0.63648
Expected RN Staffing Hours per Resident per Day
0.85241
Expected Total Nurse Staffing Hours per Resident per Day
4.04756
Adjusted CNA Staffing Hours per Resident per Day
2.04335
Adjusted LPN Staffing Hours per Resident per Day
0.75233
Adjusted RN Staffing Hours per Resident per Day
1.04683
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88586
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
24
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
44
Cycle 2 Standard Health Survey Date
2014-04-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
8
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
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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