Guy And Mary Felt Manor, Inc - Emporium Nursing Home
General Information
UPDATEFederal Provider Number
395356
Provider Name
GUY AND MARY FELT MANOR, INC
Provider Address
110 EAST FOURTH STREET
EMPORIUM, PA 15834
EMPORIUM, PA 15834
Provider Phone Number
8144863736
Provider SSA County
180
Provider County Name
Cameron
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUY AND MARY FELT MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1976-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
3.24355
Reported LPN Staffing Hours per Resident per Day
1.16129
Reported RN Staffing Hours per Resident per Day
1.19677
Reported Licensed Staffing Hours per Resident per Day
2.35806
Reported Total Nurse Staffing Hours per Resident per Day
5.60161
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01774
Expected CNA Staffing Hours per Resident per Day
2.53268
Expected LPN Staffing Hours per Resident per Day
0.62704
Expected RN Staffing Hours per Resident per Day
1.04044
Expected Total Nurse Staffing Hours per Resident per Day
4.20016
Adjusted CNA Staffing Hours per Resident per Day
3.14241
Adjusted LPN Staffing Hours per Resident per Day
1.53717
Adjusted RN Staffing Hours per Resident per Day
0.85947
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37587
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
2015-04-16
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-14
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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