Haven Skilled Rehabilitation And Nursing - Lock Haven Nursing Home
General Information
UPDATEFederal Provider Number
395031
Provider Name
HAVEN SKILLED REHABILITATION AND NURSING
Provider Address
24 CREE DRIVE
LOCK HAVEN, PA 17745
LOCK HAVEN, PA 17745
Provider Phone Number
5708935000
Provider SSA County
240
Provider County Name
Clinton
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CLINTON HOSPITAL CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.32679
Reported LPN Staffing Hours per Resident per Day
1.49018
Reported RN Staffing Hours per Resident per Day
0.87411
Reported Licensed Staffing Hours per Resident per Day
2.36429
Reported Total Nurse Staffing Hours per Resident per Day
3.69108
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10179
Expected CNA Staffing Hours per Resident per Day
2.34801
Expected LPN Staffing Hours per Resident per Day
0.64796
Expected RN Staffing Hours per Resident per Day
1.04250
Expected Total Nurse Staffing Hours per Resident per Day
4.03847
Adjusted CNA Staffing Hours per Resident per Day
1.38651
Adjusted LPN Staffing Hours per Resident per Day
1.90883
Adjusted RN Staffing Hours per Resident per Day
0.62651
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68416
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-21
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Susque View Home, Inc
22 Cree Drive |
LOCK HAVEN PA 17745 | 0.1 mile away
Bucktail Medical Center
1001 Pine Street |
RENOVO PA 17764 | 19.4 miles away
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