Masonic Village At Elizabethtown - Elizabethtown Nursing Home
General Information
UPDATEFederal Provider Number
395560
Provider Name
MASONIC VILLAGE AT ELIZABETHTOWN
Provider Address
ONE MASONIC DRIVE
ELIZABETHTOWN, PA 17022
ELIZABETHTOWN, PA 17022
Provider Phone Number
(717) 367-1121
Provider SSA County
440
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
453
Number of Residents in Certified Beds
416
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Date First Approved to Provide Medicare and Medicaid services
1983-03-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.44231
Reported LPN Staffing Hours per Resident per Day
1.27813
Reported RN Staffing Hours per Resident per Day
1.16731
Reported Licensed Staffing Hours per Resident per Day
2.44543
Reported Total Nurse Staffing Hours per Resident per Day
5.88775
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07933
Expected CNA Staffing Hours per Resident per Day
2.50557
Expected LPN Staffing Hours per Resident per Day
0.65751
Expected RN Staffing Hours per Resident per Day
1.12242
Expected Total Nurse Staffing Hours per Resident per Day
4.28550
Adjusted CNA Staffing Hours per Resident per Day
3.37105
Adjusted LPN Staffing Hours per Resident per Day
1.61343
Adjusted RN Staffing Hours per Resident per Day
0.77709
Adjusted Total Nurse Staffing Hours per Resident per Day
5.53797
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
28
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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