Lutheran Home At Johnstown, The - Johnstown Nursing Home
General Information
UPDATEFederal Provider Number
395439
Provider Name
LUTHERAN HOME AT JOHNSTOWN, THE
Provider Address
807 GOUCHER STREET
JOHNSTOWN, PA 15905
JOHNSTOWN, PA 15905
Provider Phone Number
(814) 255-6844
Provider SSA County
160
Provider County Name
Cambria
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
63
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC.
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94035
Reported LPN Staffing Hours per Resident per Day
0.95614
Reported RN Staffing Hours per Resident per Day
0.81491
Reported Licensed Staffing Hours per Resident per Day
1.77105
Reported Total Nurse Staffing Hours per Resident per Day
3.71140
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08246
Expected CNA Staffing Hours per Resident per Day
2.77472
Expected LPN Staffing Hours per Resident per Day
0.71136
Expected RN Staffing Hours per Resident per Day
1.12017
Expected Total Nurse Staffing Hours per Resident per Day
4.60625
Adjusted CNA Staffing Hours per Resident per Day
1.71586
Adjusted LPN Staffing Hours per Resident per Day
1.11561
Adjusted RN Staffing Hours per Resident per Day
0.54358
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24782
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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