Mountain Laurel Nrc - Clearfield Nursing Home
General Information
UPDATEFederal Provider Number
395331
Provider Name
MOUNTAIN LAUREL NRC
Provider Address
700 LEONARD STREET
CLEARFIELD, PA 16830
CLEARFIELD, PA 16830
Provider Phone Number
(814) 765-7545
Provider SSA County
230
Provider County Name
Clearfield
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
210
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HRC MOUNTAIN LAUREL LLC
Date First Approved to Provide Medicare and Medicaid services
1975-05-02
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.19119
Reported LPN Staffing Hours per Resident per Day
0.70000
Reported RN Staffing Hours per Resident per Day
0.54952
Reported Licensed Staffing Hours per Resident per Day
1.24952
Reported Total Nurse Staffing Hours per Resident per Day
3.44071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09786
Expected CNA Staffing Hours per Resident per Day
2.53132
Expected LPN Staffing Hours per Resident per Day
0.72491
Expected RN Staffing Hours per Resident per Day
1.24536
Expected Total Nurse Staffing Hours per Resident per Day
4.50158
Adjusted CNA Staffing Hours per Resident per Day
2.12400
Adjusted LPN Staffing Hours per Resident per Day
0.80148
Adjusted RN Staffing Hours per Resident per Day
0.32971
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08095
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
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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