Manorcare Health Services-carlisle - Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
395746
Provider Name
MANORCARE HEALTH SERVICES-CARLISLE
Provider Address
940 WALNUT BOTTOM ROAD
CARLISLE, PA 17013
CARLISLE, PA 17013
Provider Phone Number
(717) 249-0085
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF CARLISLE PA LLC
Date First Approved to Provide Medicare and Medicaid services
1987-10-29
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
4
QM Rating Footnote
Staffing Rating
2
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
1.68821
Reported LPN Staffing Hours per Resident per Day
0.67500
Reported RN Staffing Hours per Resident per Day
0.64929
Reported Licensed Staffing Hours per Resident per Day
1.32429
Reported Total Nurse Staffing Hours per Resident per Day
3.01250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13214
Expected CNA Staffing Hours per Resident per Day
2.47516
Expected LPN Staffing Hours per Resident per Day
0.67650
Expected RN Staffing Hours per Resident per Day
1.15124
Expected Total Nurse Staffing Hours per Resident per Day
4.30290
Adjusted CNA Staffing Hours per Resident per Day
1.67357
Adjusted LPN Staffing Hours per Resident per Day
0.82816
Adjusted RN Staffing Hours per Resident per Day
0.42141
Adjusted Total Nurse Staffing Hours per Resident per Day
2.82207
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
54.00000
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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