Homewood At Plum Creek - Hanover Nursing Home
General Information
UPDATEFederal Provider Number
395898
Provider Name
HOMEWOOD AT PLUM CREEK
Provider Address
425 WESTMINSTER AVENUE
HANOVER, PA 17331
HANOVER, PA 17331
Provider Phone Number
(717) 637-4166
Provider SSA County
800
Provider County Name
York
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMEWOOD AT HANOVER, PA INC
Date First Approved to Provide Medicare and Medicaid services
1993-04-10
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.31525
Reported LPN Staffing Hours per Resident per Day
1.27881
Reported RN Staffing Hours per Resident per Day
1.09915
Reported Licensed Staffing Hours per Resident per Day
2.37797
Reported Total Nurse Staffing Hours per Resident per Day
5.69321
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04110
Expected CNA Staffing Hours per Resident per Day
2.85730
Expected LPN Staffing Hours per Resident per Day
0.61378
Expected RN Staffing Hours per Resident per Day
0.85633
Expected Total Nurse Staffing Hours per Resident per Day
4.32742
Adjusted CNA Staffing Hours per Resident per Day
2.84696
Adjusted LPN Staffing Hours per Resident per Day
1.72929
Adjusted RN Staffing Hours per Resident per Day
0.95907
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30310
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
40
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
40
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
2013-07-11
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
2012-06-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.00000
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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