Manorcare Health Services-williamsport South - Williamsport Nursing Home
General Information
UPDATEFederal Provider Number
395396
Provider Name
MANORCARE HEALTH SERVICES-WILLIAMSPORT SOUTH
Provider Address
101 LEADER DRIVE
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
Provider Phone Number
(570) 323-3758
Provider SSA County
510
Provider County Name
Lycoming
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
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
1.94087
Reported LPN Staffing Hours per Resident per Day
0.82163
Reported RN Staffing Hours per Resident per Day
0.43317
Reported Licensed Staffing Hours per Resident per Day
1.25481
Reported Total Nurse Staffing Hours per Resident per Day
3.19567
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08510
Expected CNA Staffing Hours per Resident per Day
2.42553
Expected LPN Staffing Hours per Resident per Day
0.68076
Expected RN Staffing Hours per Resident per Day
1.17195
Expected Total Nurse Staffing Hours per Resident per Day
4.27824
Adjusted CNA Staffing Hours per Resident per Day
1.96341
Adjusted LPN Staffing Hours per Resident per Day
1.00175
Adjusted RN Staffing Hours per Resident per Day
0.27618
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01092
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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