Hillsdale Rehabilitation And Nursing Center - Hillsdale Nursing Home
General Information
UPDATEFederal Provider Number
395569
Provider Name
HILLSDALE REHABILITATION AND NURSING CENTER
Provider Address
383 MOUNTAIN VIEW DRIVE
HILLSDALE, PA 15746
HILLSDALE, PA 15746
Provider Phone Number
8147436613
Provider SSA County
390
Provider County Name
Indiana
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSDALE SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1983-01-13
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
2
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
1.73944
Reported LPN Staffing Hours per Resident per Day
0.83803
Reported RN Staffing Hours per Resident per Day
0.54859
Reported Licensed Staffing Hours per Resident per Day
1.38662
Reported Total Nurse Staffing Hours per Resident per Day
3.12606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14789
Expected CNA Staffing Hours per Resident per Day
2.62309
Expected LPN Staffing Hours per Resident per Day
0.79490
Expected RN Staffing Hours per Resident per Day
1.35058
Expected Total Nurse Staffing Hours per Resident per Day
4.76857
Adjusted CNA Staffing Hours per Resident per Day
1.62711
Adjusted LPN Staffing Hours per Resident per Day
0.87503
Adjusted RN Staffing Hours per Resident per Day
0.30350
Adjusted Total Nurse Staffing Hours per Resident per Day
2.64248
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
8
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-08-01
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.00000
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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