Nottingham Village - Northumberland Nursing Home
General Information
UPDATEFederal Provider Number
395390
Provider Name
NOTTINGHAM VILLAGE
Provider Address
58 NEITZ ROAD
NORTHUMBERLAND, PA 17857
NORTHUMBERLAND, PA 17857
Provider Phone Number
(570) 473-8366
Provider SSA County
600
Provider County Name
Northumberlnd
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEEDS HEALTH CARE SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1977-11-07
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41019
Reported LPN Staffing Hours per Resident per Day
1.05648
Reported RN Staffing Hours per Resident per Day
0.77454
Reported Licensed Staffing Hours per Resident per Day
1.83102
Reported Total Nurse Staffing Hours per Resident per Day
4.24121
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08981
Expected CNA Staffing Hours per Resident per Day
2.87548
Expected LPN Staffing Hours per Resident per Day
0.72094
Expected RN Staffing Hours per Resident per Day
1.04453
Expected Total Nurse Staffing Hours per Resident per Day
4.64096
Adjusted CNA Staffing Hours per Resident per Day
2.05666
Adjusted LPN Staffing Hours per Resident per Day
1.21630
Adjusted RN Staffing Hours per Resident per Day
0.55406
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68370
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
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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