Highland Manor Rehabilitation And Nursing Center - Exeter Nursing Home
General Information
UPDATEFederal Provider Number
395566
Provider Name
HIGHLAND MANOR REHABILITATION AND NURSING CENTER
Provider Address
750 SCHOOLEY AVENUE
EXETER, PA 18643
EXETER, PA 18643
Provider Phone Number
(570) 655-3791
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HIGHLAND MANOR NURSING & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1983-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.18238
Reported LPN Staffing Hours per Resident per Day
0.81619
Reported RN Staffing Hours per Resident per Day
0.54952
Reported Licensed Staffing Hours per Resident per Day
1.36571
Reported Total Nurse Staffing Hours per Resident per Day
3.54809
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05429
Expected CNA Staffing Hours per Resident per Day
2.46030
Expected LPN Staffing Hours per Resident per Day
0.66997
Expected RN Staffing Hours per Resident per Day
1.23590
Expected Total Nurse Staffing Hours per Resident per Day
4.36618
Adjusted CNA Staffing Hours per Resident per Day
2.17652
Adjusted LPN Staffing Hours per Resident per Day
1.01114
Adjusted RN Staffing Hours per Resident per Day
0.33223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27563
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-19
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
30
Cycle 3 Total Health Score
90
Total Weighted Health Survey Score
42.33300
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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