Homewood At Martinsburg Pa Inc - Martinsburg Nursing Home
General Information
UPDATEFederal Provider Number
395896
Provider Name
HOMEWOOD AT MARTINSBURG PA INC
Provider Address
437 GIVLER DRIVE
MARTINSBURG, PA 16662
MARTINSBURG, PA 16662
Provider Phone Number
(814) 793-3728
Provider SSA County
120
Provider County Name
Blair
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMEWOOD AT MARTINSBURG PA, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-06-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.75121
Reported LPN Staffing Hours per Resident per Day
1.34718
Reported RN Staffing Hours per Resident per Day
0.71250
Reported Licensed Staffing Hours per Resident per Day
2.05968
Reported Total Nurse Staffing Hours per Resident per Day
4.81089
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.62493
Expected LPN Staffing Hours per Resident per Day
0.65307
Expected RN Staffing Hours per Resident per Day
1.07574
Expected Total Nurse Staffing Hours per Resident per Day
4.35374
Adjusted CNA Staffing Hours per Resident per Day
2.57175
Adjusted LPN Staffing Hours per Resident per Day
1.71216
Adjusted RN Staffing Hours per Resident per Day
0.49490
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45415
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
2015-01-29
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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