Ohesson Manor - Lewistown Nursing Home
General Information
UPDATEFederal Provider Number
395373
Provider Name
OHESSON MANOR
Provider Address
276 GREEN AVE EXTENDED
LEWISTOWN, PA 17044
LEWISTOWN, PA 17044
Provider Phone Number
(717) 242-1416
Provider SSA County
540
Provider County Name
Mifflin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIAKON LUTHERAN SOCIAL MINISTRIES
Date First Approved to Provide Medicare and Medicaid services
1977-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
3.13203
Reported LPN Staffing Hours per Resident per Day
1.40547
Reported RN Staffing Hours per Resident per Day
0.61797
Reported Licensed Staffing Hours per Resident per Day
2.02344
Reported Total Nurse Staffing Hours per Resident per Day
5.15547
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08633
Expected CNA Staffing Hours per Resident per Day
2.52333
Expected LPN Staffing Hours per Resident per Day
0.64729
Expected RN Staffing Hours per Resident per Day
1.06505
Expected Total Nurse Staffing Hours per Resident per Day
4.23566
Adjusted CNA Staffing Hours per Resident per Day
3.04561
Adjusted LPN Staffing Hours per Resident per Day
1.80220
Adjusted RN Staffing Hours per Resident per Day
0.43354
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90624
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
2013-11-06
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
42.00000
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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