Manorcare Health Services-kingston - Kingston Nursing Home
General Information
UPDATEFederal Provider Number
395397
Provider Name
MANORCARE HEALTH SERVICES-KINGSTON
Provider Address
200 SECOND AVENUE
KINGSTON, PA 18704
KINGSTON, PA 18704
Provider Phone Number
(570) 288-9315
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF KINGSTON PA LLC
Date First Approved to Provide Medicare and Medicaid services
1977-12-01
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95096
Reported LPN Staffing Hours per Resident per Day
0.75796
Reported RN Staffing Hours per Resident per Day
0.58121
Reported Licensed Staffing Hours per Resident per Day
1.33917
Reported Total Nurse Staffing Hours per Resident per Day
3.29013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13822
Expected CNA Staffing Hours per Resident per Day
2.65967
Expected LPN Staffing Hours per Resident per Day
0.73213
Expected RN Staffing Hours per Resident per Day
1.21657
Expected Total Nurse Staffing Hours per Resident per Day
4.60838
Adjusted CNA Staffing Hours per Resident per Day
1.79987
Adjusted LPN Staffing Hours per Resident per Day
0.85928
Adjusted RN Staffing Hours per Resident per Day
0.35697
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87784
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
208
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
208
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-08
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
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
120.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
114920
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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