Lackawanna Health And Rehab Center - Olyphant Nursing Home
General Information
UPDATEFederal Provider Number
395414
Provider Name
LACKAWANNA HEALTH AND REHAB CENTER
Provider Address
108 TERRACE DRIVE
OLYPHANT, PA 18447
OLYPHANT, PA 18447
Provider Phone Number
(570) 489-8611
Provider SSA County
420
Provider County Name
Lackawanna
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
272
Number of Residents in Certified Beds
200
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LACKAWANNA ACQUISITION I, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-05-27
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44875
Reported LPN Staffing Hours per Resident per Day
0.95425
Reported RN Staffing Hours per Resident per Day
0.57725
Reported Licensed Staffing Hours per Resident per Day
1.53150
Reported Total Nurse Staffing Hours per Resident per Day
3.98025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06450
Expected CNA Staffing Hours per Resident per Day
2.50657
Expected LPN Staffing Hours per Resident per Day
0.68322
Expected RN Staffing Hours per Resident per Day
1.20868
Expected Total Nurse Staffing Hours per Resident per Day
4.39847
Adjusted CNA Staffing Hours per Resident per Day
2.39710
Adjusted LPN Staffing Hours per Resident per Day
1.15926
Adjusted RN Staffing Hours per Resident per Day
0.35685
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64763
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-11
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
23
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
184
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
184
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
98.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
15
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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