Loyalsock Creek Rehabilitation And Nursing Center - Montoursville Nursing Home
General Information
UPDATEFederal Provider Number
395379
Provider Name
LOYALSOCK CREEK REHABILITATION AND NURSING CENTER
Provider Address
1445 SYCAMORE ROAD
MONTOURSVILLE, PA 17754
MONTOURSVILLE, PA 17754
Provider Phone Number
(570) 326-2037
Provider SSA County
510
Provider County Name
Lycoming
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOYALSOCK CREEK SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1978-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09513
Reported LPN Staffing Hours per Resident per Day
0.81991
Reported RN Staffing Hours per Resident per Day
0.39912
Reported Licensed Staffing Hours per Resident per Day
1.21903
Reported Total Nurse Staffing Hours per Resident per Day
3.31416
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05044
Expected CNA Staffing Hours per Resident per Day
2.43064
Expected LPN Staffing Hours per Resident per Day
0.61679
Expected RN Staffing Hours per Resident per Day
1.12148
Expected Total Nurse Staffing Hours per Resident per Day
4.16891
Adjusted CNA Staffing Hours per Resident per Day
2.11501
Adjusted LPN Staffing Hours per Resident per Day
1.10333
Adjusted RN Staffing Hours per Resident per Day
0.26592
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20445
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
172
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
172
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
117.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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