Moravian Village Of Bethlehem - Bethlehem Nursing Home
General Information
UPDATEFederal Provider Number
396096
Provider Name
MORAVIAN VILLAGE OF BETHLEHEM
Provider Address
634 EAST BROAD STREET
BETHLEHEM, PA 18018
BETHLEHEM, PA 18018
Provider Phone Number
(610) 625-4885
Provider SSA County
590
Provider County Name
Northampton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
103
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
MORAVIAN VILLAGE OF BETHLEHEM, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-06-24
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.41990
Reported LPN Staffing Hours per Resident per Day
0.99029
Reported RN Staffing Hours per Resident per Day
1.21893
Reported Licensed Staffing Hours per Resident per Day
2.20922
Reported Total Nurse Staffing Hours per Resident per Day
4.62912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24417
Expected CNA Staffing Hours per Resident per Day
2.48396
Expected LPN Staffing Hours per Resident per Day
0.68781
Expected RN Staffing Hours per Resident per Day
1.28335
Expected Total Nurse Staffing Hours per Resident per Day
4.45512
Adjusted CNA Staffing Hours per Resident per Day
2.39042
Adjusted LPN Staffing Hours per Resident per Day
1.19501
Adjusted RN Staffing Hours per Resident per Day
0.70969
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18833
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-04-11
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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