Manor At Penn Village, The - Selinsgrove Nursing Home
General Information
UPDATEFederal Provider Number
395172
Provider Name
MANOR AT PENN VILLAGE, THE
Provider Address
51 ROUTE 204
SELINSGROVE, PA 17870
SELINSGROVE, PA 17870
Provider Phone Number
(570) 374-8181
Provider SSA County
670
Provider County Name
Snyder
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
159
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENN VILLAGE FACIITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-04
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
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
2.05629
Reported LPN Staffing Hours per Resident per Day
0.88046
Reported RN Staffing Hours per Resident per Day
0.43311
Reported Licensed Staffing Hours per Resident per Day
1.31358
Reported Total Nurse Staffing Hours per Resident per Day
3.36986
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07086
Expected CNA Staffing Hours per Resident per Day
2.58663
Expected LPN Staffing Hours per Resident per Day
0.71322
Expected RN Staffing Hours per Resident per Day
1.16087
Expected Total Nurse Staffing Hours per Resident per Day
4.46072
Adjusted CNA Staffing Hours per Resident per Day
1.95061
Adjusted LPN Staffing Hours per Resident per Day
1.02463
Adjusted RN Staffing Hours per Resident per Day
0.27877
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04515
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-27
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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