Holy Family Residence - Scranton Nursing Home
General Information
UPDATEFederal Provider Number
395625
Provider Name
HOLY FAMILY RESIDENCE
Provider Address
2500 ADAMS AVENUE
SCRANTON, PA 18509
SCRANTON, PA 18509
Provider Phone Number
(570) 343-4065
Provider SSA County
420
Provider County Name
Lackawanna
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
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
2.85882
Reported LPN Staffing Hours per Resident per Day
0.66667
Reported RN Staffing Hours per Resident per Day
0.53627
Reported Licensed Staffing Hours per Resident per Day
1.20294
Reported Total Nurse Staffing Hours per Resident per Day
4.06176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04510
Expected CNA Staffing Hours per Resident per Day
2.52530
Expected LPN Staffing Hours per Resident per Day
0.61409
Expected RN Staffing Hours per Resident per Day
0.98757
Expected Total Nurse Staffing Hours per Resident per Day
4.12696
Adjusted CNA Staffing Hours per Resident per Day
2.77776
Adjusted LPN Staffing Hours per Resident per Day
0.90107
Adjusted RN Staffing Hours per Resident per Day
0.40574
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96722
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
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
2013-06-12
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
46.66700
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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