Moravian Manor - Lititz Nursing Home

General Information

UPDATE
Federal Provider Number
395325
Provider Name
MORAVIAN MANOR
Provider Address
300 WEST LEMON STREET
LITITZ, PA 17543
Provider Phone Number
7176260214
Provider SSA County
440
Provider County Name
Lancaster
Ownership Type
Non profit - Corporation
Number of Certified Beds
127
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORAVIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.12459
Reported LPN Staffing Hours per Resident per Day
1.41066
Reported RN Staffing Hours per Resident per Day
0.66516
Reported Licensed Staffing Hours per Resident per Day
2.07582
Reported Total Nurse Staffing Hours per Resident per Day
5.20041
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12705
Expected CNA Staffing Hours per Resident per Day
2.61018
Expected LPN Staffing Hours per Resident per Day
0.61318
Expected RN Staffing Hours per Resident per Day
1.02346
Expected Total Nurse Staffing Hours per Resident per Day
4.24683
Adjusted CNA Staffing Hours per Resident per Day
2.93727
Adjusted LPN Staffing Hours per Resident per Day
1.90946
Adjusted RN Staffing Hours per Resident per Day
0.48561
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93600
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
2014-11-06
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
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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