Jefferson Manor Health Center - Brookville Nursing Home
General Information
UPDATEFederal Provider Number
395626
Provider Name
JEFFERSON MANOR HEALTH CENTER
Provider Address
417 ROUTE 28
BROOKVILLE, PA 15825
BROOKVILLE, PA 15825
Provider Phone Number
(814) 849-8026
Provider SSA County
400
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFCO HEALTH SERVICES INC.
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95565
Reported LPN Staffing Hours per Resident per Day
0.82540
Reported RN Staffing Hours per Resident per Day
0.78629
Reported Licensed Staffing Hours per Resident per Day
1.61169
Reported Total Nurse Staffing Hours per Resident per Day
3.56734
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01048
Expected CNA Staffing Hours per Resident per Day
2.54398
Expected LPN Staffing Hours per Resident per Day
0.65880
Expected RN Staffing Hours per Resident per Day
1.04909
Expected Total Nurse Staffing Hours per Resident per Day
4.25187
Adjusted CNA Staffing Hours per Resident per Day
1.88625
Adjusted LPN Staffing Hours per Resident per Day
1.03990
Adjusted RN Staffing Hours per Resident per Day
0.56002
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38195
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
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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