Henry Clay Villa, Lp - Markleysburg Nursing Home
General Information
UPDATEFederal Provider Number
395906
Provider Name
HENRY CLAY VILLA, LP
Provider Address
5253 NATIONAL PIKE
MARKLEYSBURG, PA 15459
MARKLEYSBURG, PA 15459
Provider Phone Number
(412) 329-5545
Provider SSA County
330
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
74
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY CLAY VILLA LP
Date First Approved to Provide Medicare and Medicaid services
1993-07-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.33731
Reported LPN Staffing Hours per Resident per Day
1.05746
Reported RN Staffing Hours per Resident per Day
0.73358
Reported Licensed Staffing Hours per Resident per Day
1.79104
Reported Total Nurse Staffing Hours per Resident per Day
4.12835
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12612
Expected CNA Staffing Hours per Resident per Day
2.60601
Expected LPN Staffing Hours per Resident per Day
0.68461
Expected RN Staffing Hours per Resident per Day
1.09317
Expected Total Nurse Staffing Hours per Resident per Day
4.38379
Adjusted CNA Staffing Hours per Resident per Day
2.20070
Adjusted LPN Staffing Hours per Resident per Day
1.28204
Adjusted RN Staffing Hours per Resident per Day
0.50141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79602
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
12
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.66700
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
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