Manorcare Health Services-williamsport North - Williamsport Nursing Home
General Information
UPDATEFederal Provider Number
395364
Provider Name
MANORCARE HEALTH SERVICES-WILLIAMSPORT NORTH
Provider Address
300 LEADER DRIVE
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
Provider Phone Number
(570) 323-8627
Provider SSA County
510
Provider County Name
Lycoming
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WILLIAMSPORT PA (NORTH) 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
1
Health Inspection Rating Footnote
QM Rating
5
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
2.00735
Reported LPN Staffing Hours per Resident per Day
0.66838
Reported RN Staffing Hours per Resident per Day
0.51581
Reported Licensed Staffing Hours per Resident per Day
1.18419
Reported Total Nurse Staffing Hours per Resident per Day
3.19154
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04228
Expected CNA Staffing Hours per Resident per Day
2.53267
Expected LPN Staffing Hours per Resident per Day
0.63729
Expected RN Staffing Hours per Resident per Day
0.98931
Expected Total Nurse Staffing Hours per Resident per Day
4.15927
Adjusted CNA Staffing Hours per Resident per Day
1.94476
Adjusted LPN Staffing Hours per Resident per Day
0.87050
Adjusted RN Staffing Hours per Resident per Day
0.38958
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09304
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
82
Cycle 1 Total Health Score
246
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
149.00000
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
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