Mountain City Nursing And Rehabilitation Center - Hazleton Nursing Home
General Information
UPDATEFederal Provider Number
395582
Provider Name
MOUNTAIN CITY NURSING AND REHABILITATION CENTER
Provider Address
403 HAZLE TOWNSHIP BOULEVARD
HAZLETON, PA 18202
HAZLETON, PA 18202
Provider Phone Number
(570) 454-8888
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
297
Number of Residents in Certified Beds
286
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HRC MOUNTAIN CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1983-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.29510
Reported LPN Staffing Hours per Resident per Day
0.75909
Reported RN Staffing Hours per Resident per Day
0.49371
Reported Licensed Staffing Hours per Resident per Day
1.25280
Reported Total Nurse Staffing Hours per Resident per Day
3.54790
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06591
Expected CNA Staffing Hours per Resident per Day
2.52229
Expected LPN Staffing Hours per Resident per Day
0.67449
Expected RN Staffing Hours per Resident per Day
1.11117
Expected Total Nurse Staffing Hours per Resident per Day
4.30795
Adjusted CNA Staffing Hours per Resident per Day
2.23269
Adjusted LPN Staffing Hours per Resident per Day
0.93410
Adjusted RN Staffing Hours per Resident per Day
0.33199
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31973
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
114.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
28
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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