Penn Hall At Menno-haven - Chambersburg Nursing Home
General Information
UPDATEFederal Provider Number
395944
Provider Name
PENN HALL AT MENNO-HAVEN
Provider Address
1425 PHILADELPHIA AVENUE
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
Provider Phone Number
(717) 261-0220
Provider SSA County
350
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNO HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-12-29
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.31810
Reported LPN Staffing Hours per Resident per Day
0.67500
Reported RN Staffing Hours per Resident per Day
0.63793
Reported Licensed Staffing Hours per Resident per Day
1.31293
Reported Total Nurse Staffing Hours per Resident per Day
3.63103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05517
Expected CNA Staffing Hours per Resident per Day
2.65060
Expected LPN Staffing Hours per Resident per Day
0.64049
Expected RN Staffing Hours per Resident per Day
1.04604
Expected Total Nurse Staffing Hours per Resident per Day
4.33712
Adjusted CNA Staffing Hours per Resident per Day
2.14590
Adjusted LPN Staffing Hours per Resident per Day
0.87473
Adjusted RN Staffing Hours per Resident per Day
0.45568
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37466
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-08-02
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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