Manorcare Health Services-jersey Shore - Jersey Shore Nursing Home
General Information
UPDATEFederal Provider Number
395359
Provider Name
MANORCARE HEALTH SERVICES-JERSEY SHORE
Provider Address
1008 THOMPSON STREET
JERSEY SHORE, PA 17740
JERSEY SHORE, PA 17740
Provider Phone Number
5703984747
Provider SSA County
510
Provider County Name
Lycoming
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF JERSEY SHORE PA LLC
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
3
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
1.79211
Reported LPN Staffing Hours per Resident per Day
0.94035
Reported RN Staffing Hours per Resident per Day
0.41842
Reported Licensed Staffing Hours per Resident per Day
1.35877
Reported Total Nurse Staffing Hours per Resident per Day
3.15088
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10965
Expected CNA Staffing Hours per Resident per Day
2.49224
Expected LPN Staffing Hours per Resident per Day
0.68178
Expected RN Staffing Hours per Resident per Day
1.20974
Expected Total Nurse Staffing Hours per Resident per Day
4.38376
Adjusted CNA Staffing Hours per Resident per Day
1.76440
Adjusted LPN Staffing Hours per Resident per Day
1.14479
Adjusted RN Staffing Hours per Resident per Day
0.25844
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89726
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
24
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Rose View Center
1201 Rural Avenue |
WILLIAMSPORT PA 17701 | 12.7 miles away
Williamsport Home, The
1900 Ravine Road |
WILLIAMSPORT PA 17701 | 13.3 miles away
Manorcare Health Services-williamsport North
300 Leader Drive |
WILLIAMSPORT PA 17701 | 15.6 miles away
Manorcare Health Services-williamsport South
101 Leader Drive |
WILLIAMSPORT PA 17701 | 15.6 miles away
Loyalsock Creek Rehabilitation And Nursing Center
1445 Sycamore Road |
MONTOURSVILLE PA 17754 | 16.9 miles away
Valley View Nursing Center
2140 Warrensville Road |
MONTOURSVILLE PA 17754 | 18.2 miles away
Susquehanna Health Skilled Nursing & Rehabilitatio
215 East Water Street |
MUNCY PA 17756 | 25.5 miles away
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