Millville Health And Rehabilitation Center - Millville Nursing Home
General Information
UPDATEFederal Provider Number
395872
Provider Name
MILLVILLE HEALTH AND REHABILITATION CENTER
Provider Address
P.O. BOX 320, 48 HAVEN LANE
MILLVILLE, PA 17846
MILLVILLE, PA 17846
Provider Phone Number
(570) 458-5566
Provider SSA County
250
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RELIANT MILLVILLE HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.82632
Reported LPN Staffing Hours per Resident per Day
1.06789
Reported RN Staffing Hours per Resident per Day
0.54158
Reported Licensed Staffing Hours per Resident per Day
1.60947
Reported Total Nurse Staffing Hours per Resident per Day
3.43579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12053
Expected CNA Staffing Hours per Resident per Day
2.43272
Expected LPN Staffing Hours per Resident per Day
0.75399
Expected RN Staffing Hours per Resident per Day
1.41044
Expected Total Nurse Staffing Hours per Resident per Day
4.59715
Adjusted CNA Staffing Hours per Resident per Day
1.84207
Adjusted LPN Staffing Hours per Resident per Day
1.17554
Adjusted RN Staffing Hours per Resident per Day
0.28691
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01259
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
208
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
208
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
130.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
17
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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