Manorcare Health Services-chambersburg - Chambersburg Nursing Home
General Information
UPDATEFederal Provider Number
395348
Provider Name
MANORCARE HEALTH SERVICES-CHAMBERSBURG
Provider Address
1070 STOUFFER AVENUE
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
Provider Phone Number
(717) 263-0436
Provider SSA County
350
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
203
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF CHAMBERSBURG PA LLC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01823
Reported LPN Staffing Hours per Resident per Day
0.63424
Reported RN Staffing Hours per Resident per Day
0.46355
Reported Licensed Staffing Hours per Resident per Day
1.09778
Reported Total Nurse Staffing Hours per Resident per Day
3.11602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08177
Expected CNA Staffing Hours per Resident per Day
2.53334
Expected LPN Staffing Hours per Resident per Day
0.72559
Expected RN Staffing Hours per Resident per Day
1.22088
Expected Total Nurse Staffing Hours per Resident per Day
4.47981
Adjusted CNA Staffing Hours per Resident per Day
1.95478
Adjusted LPN Staffing Hours per Resident per Day
0.72551
Adjusted RN Staffing Hours per Resident per Day
0.28370
Adjusted Total Nurse Staffing Hours per Resident per Day
2.80377
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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