Kingston Health Care Center - Kingston Nursing Home
General Information
UPDATEFederal Provider Number
395905
Provider Name
KINGSTON HEALTH CARE CENTER
Provider Address
702 THIRD AVENUE
KINGSTON, PA 18704
KINGSTON, PA 18704
Provider Phone Number
(570) 283-5848
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGSTON SNF HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
1.92593
Reported LPN Staffing Hours per Resident per Day
0.79815
Reported RN Staffing Hours per Resident per Day
0.86852
Reported Licensed Staffing Hours per Resident per Day
1.66667
Reported Total Nurse Staffing Hours per Resident per Day
3.59260
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31111
Expected CNA Staffing Hours per Resident per Day
2.56541
Expected LPN Staffing Hours per Resident per Day
0.73747
Expected RN Staffing Hours per Resident per Day
1.32617
Expected Total Nurse Staffing Hours per Resident per Day
4.62905
Adjusted CNA Staffing Hours per Resident per Day
1.84206
Adjusted LPN Staffing Hours per Resident per Day
0.89829
Adjusted RN Staffing Hours per Resident per Day
0.48935
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12837
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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