Mid-valley Health Care Center - Peckville Nursing Home
General Information
UPDATEFederal Provider Number
395644
Provider Name
MID-VALLEY HEALTH CARE CENTER
Provider Address
81 STURGES ROAD
PECKVILLE, PA 18452
PECKVILLE, PA 18452
Provider Phone Number
(570) 383-7320
Provider SSA County
420
Provider County Name
Lackawanna
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID-VALLEY SNF HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07879
Reported LPN Staffing Hours per Resident per Day
0.72727
Reported RN Staffing Hours per Resident per Day
1.26364
Reported Licensed Staffing Hours per Resident per Day
1.99091
Reported Total Nurse Staffing Hours per Resident per Day
4.06970
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24242
Expected CNA Staffing Hours per Resident per Day
2.74356
Expected LPN Staffing Hours per Resident per Day
0.75559
Expected RN Staffing Hours per Resident per Day
1.34257
Expected Total Nurse Staffing Hours per Resident per Day
4.84173
Adjusted CNA Staffing Hours per Resident per Day
1.85916
Adjusted LPN Staffing Hours per Resident per Day
0.79889
Adjusted RN Staffing Hours per Resident per Day
0.70327
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38816
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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