Passavant Retirement And Healt - Zelienople Nursing Home
General Information
UPDATEFederal Provider Number
395001
Provider Name
PASSAVANT RETIREMENT AND HEALT
Provider Address
105 BURGESS DRIVE
ZELIENOPLE, PA 16063
ZELIENOPLE, PA 16063
Provider Phone Number
7244525400
Provider SSA County
150
Provider County Name
Butler
Ownership Type
Non profit - Church related
Number of Certified Beds
102
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PASSAVANT RETIREMENT AND HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.93030
Reported LPN Staffing Hours per Resident per Day
0.81061
Reported RN Staffing Hours per Resident per Day
1.49899
Reported Licensed Staffing Hours per Resident per Day
2.30960
Reported Total Nurse Staffing Hours per Resident per Day
5.23990
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08788
Expected CNA Staffing Hours per Resident per Day
2.81860
Expected LPN Staffing Hours per Resident per Day
0.78485
Expected RN Staffing Hours per Resident per Day
1.29490
Expected Total Nurse Staffing Hours per Resident per Day
4.89834
Adjusted CNA Staffing Hours per Resident per Day
2.55094
Adjusted LPN Staffing Hours per Resident per Day
0.85725
Adjusted RN Staffing Hours per Resident per Day
0.86497
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31197
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-30
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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