Hampton House - Wilkes-barre Nursing Home
General Information
UPDATEFederal Provider Number
395249
Provider Name
HAMPTON HOUSE
Provider Address
1548 SANS SOUCI PARKWAY
WILKES-BARRE, PA 18702
WILKES-BARRE, PA 18702
Provider Phone Number
(570) 825-8725
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAMPTON HOUSE-WILKES-BARRE PA, LLC
Date First Approved to Provide Medicare and Medicaid services
1968-10-17
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
5
QM Rating Footnote
Staffing Rating
2
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
2.13351
Reported LPN Staffing Hours per Resident per Day
0.64639
Reported RN Staffing Hours per Resident per Day
0.58454
Reported Licensed Staffing Hours per Resident per Day
1.23093
Reported Total Nurse Staffing Hours per Resident per Day
3.36444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04485
Expected CNA Staffing Hours per Resident per Day
2.69494
Expected LPN Staffing Hours per Resident per Day
0.71455
Expected RN Staffing Hours per Resident per Day
1.11209
Expected Total Nurse Staffing Hours per Resident per Day
4.52157
Adjusted CNA Staffing Hours per Resident per Day
1.94253
Adjusted LPN Staffing Hours per Resident per Day
0.75083
Adjusted RN Staffing Hours per Resident per Day
0.39275
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99934
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
52
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
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
36
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
12
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.00000
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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