Havencrest Nursing Center - Monongahela Nursing Home
General Information
UPDATEFederal Provider Number
395633
Provider Name
HAVENCREST NURSING CENTER
Provider Address
1277 COUNTRY CLUB ROAD
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
Provider Phone Number
(724) 258-3000
Provider SSA County
750
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60000
Reported LPN Staffing Hours per Resident per Day
0.40000
Reported RN Staffing Hours per Resident per Day
0.74250
Reported Licensed Staffing Hours per Resident per Day
1.14250
Reported Total Nurse Staffing Hours per Resident per Day
3.74250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22875
Expected CNA Staffing Hours per Resident per Day
2.55882
Expected LPN Staffing Hours per Resident per Day
0.81998
Expected RN Staffing Hours per Resident per Day
1.54082
Expected Total Nurse Staffing Hours per Resident per Day
4.91962
Adjusted CNA Staffing Hours per Resident per Day
2.49319
Adjusted LPN Staffing Hours per Resident per Day
0.40489
Adjusted RN Staffing Hours per Resident per Day
0.36007
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06642
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
34
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
49.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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