Julia Ribaudo Extended Care Center - Lake Ariel Nursing Home
General Information
UPDATEFederal Provider Number
395493
Provider Name
JULIA RIBAUDO EXTENDED CARE CENTER
Provider Address
1404 GOLF PARK DRIVE
LAKE ARIEL, PA 18436
LAKE ARIEL, PA 18436
Provider Phone Number
(570) 698-5647
Provider SSA County
760
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JULIA RIBAUDO HEALTHCARE GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-01-27
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.80194
Reported LPN Staffing Hours per Resident per Day
0.78835
Reported RN Staffing Hours per Resident per Day
0.63301
Reported Licensed Staffing Hours per Resident per Day
1.42136
Reported Total Nurse Staffing Hours per Resident per Day
3.22330
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04903
Expected CNA Staffing Hours per Resident per Day
2.52152
Expected LPN Staffing Hours per Resident per Day
0.69469
Expected RN Staffing Hours per Resident per Day
1.22518
Expected Total Nurse Staffing Hours per Resident per Day
4.44140
Adjusted CNA Staffing Hours per Resident per Day
1.75347
Adjusted LPN Staffing Hours per Resident per Day
0.94190
Adjusted RN Staffing Hours per Resident per Day
0.38605
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92538
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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