Pennsylvania Nursing Homes >> Palmyra Nursing Homes >> Lebanon Valley Brethren Home

Lebanon Valley Brethren Home - Palmyra Nursing Home

General Information

UPDATE
Federal Provider Number
395437
Provider Name
LEBANON VALLEY BRETHREN HOME
Provider Address
1200 GRUBB STREET
PALMYRA, PA 17078
Provider Phone Number
(717) 838-5406
Provider SSA County
460
Provider County Name
Lebanon
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEBANON VALLEY BRETHREN HOME
Date First Approved to Provide Medicare and Medicaid services
1979-02-23
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.49783
Reported LPN Staffing Hours per Resident per Day
1.04783
Reported RN Staffing Hours per Resident per Day
0.71033
Reported Licensed Staffing Hours per Resident per Day
1.75815
Reported Total Nurse Staffing Hours per Resident per Day
5.25599
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12880
Expected CNA Staffing Hours per Resident per Day
2.49620
Expected LPN Staffing Hours per Resident per Day
0.63183
Expected RN Staffing Hours per Resident per Day
1.04754
Expected Total Nurse Staffing Hours per Resident per Day
4.17557
Adjusted CNA Staffing Hours per Resident per Day
3.43828
Adjusted LPN Staffing Hours per Resident per Day
1.37648
Adjusted RN Staffing Hours per Resident per Day
0.50667
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07389
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
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
0
Total Weighted Health Survey Score
14.00000
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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