Millcreek Community Hospital Transitional Care - Erie Nursing Home
General Information
UPDATEFederal Provider Number
396121
Provider Name
MILLCREEK COMMUNITY HOSPITAL TRANSITIONAL CARE
Provider Address
5515 PEACH STREET
ERIE, PA 16509
ERIE, PA 16509
Provider Phone Number
(814) 868-7658
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
MILLCREEK COMMUNITY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2008-09-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.23000
Reported LPN Staffing Hours per Resident per Day
4.00000
Reported RN Staffing Hours per Resident per Day
3.14250
Reported Licensed Staffing Hours per Resident per Day
7.14250
Reported Total Nurse Staffing Hours per Resident per Day
8.37250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.57250
Expected CNA Staffing Hours per Resident per Day
2.18258
Expected LPN Staffing Hours per Resident per Day
0.88362
Expected RN Staffing Hours per Resident per Day
1.84870
Expected Total Nurse Staffing Hours per Resident per Day
4.91490
Adjusted CNA Staffing Hours per Resident per Day
1.38279
Adjusted LPN Staffing Hours per Resident per Day
3.75726
Adjusted RN Staffing Hours per Resident per Day
1.27012
Adjusted Total Nurse Staffing Hours per Resident per Day
6.86661
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
8
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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