Menno-haven, Inc. - Chambersburg Nursing Home
General Information
UPDATEFederal Provider Number
395012
Provider Name
MENNO-HAVEN, INC.
Provider Address
2075 SCOTLAND AVENUE
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
Provider Phone Number
(717) 263-8545
Provider SSA County
350
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
152
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNO HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.48475
Reported LPN Staffing Hours per Resident per Day
1.20213
Reported RN Staffing Hours per Resident per Day
0.49468
Reported Licensed Staffing Hours per Resident per Day
1.69681
Reported Total Nurse Staffing Hours per Resident per Day
4.18156
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07553
Expected CNA Staffing Hours per Resident per Day
2.70192
Expected LPN Staffing Hours per Resident per Day
0.65963
Expected RN Staffing Hours per Resident per Day
1.06904
Expected Total Nurse Staffing Hours per Resident per Day
4.43060
Adjusted CNA Staffing Hours per Resident per Day
2.25648
Adjusted LPN Staffing Hours per Resident per Day
1.51261
Adjusted RN Staffing Hours per Resident per Day
0.34575
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80433
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.00000
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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