Penn State Hershey Transitional Care - Hummelstown Nursing Home
General Information
UPDATEFederal Provider Number
396134
Provider Name
PENN STATE HERSHEY TRANSITIONAL CARE
Provider Address
1135 WEST CHOCOLATE AVENUE 2ND FLOOR
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
Provider Phone Number
(717) 832-2600
Provider SSA County
280
Provider County Name
Dauphin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
19
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
PENN STATE HERSHEY REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
2014-05-16
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.61579
Reported LPN Staffing Hours per Resident per Day
1.26579
Reported RN Staffing Hours per Resident per Day
1.67895
Reported Licensed Staffing Hours per Resident per Day
2.94474
Reported Total Nurse Staffing Hours per Resident per Day
5.56053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.60263
Expected CNA Staffing Hours per Resident per Day
2.26762
Expected LPN Staffing Hours per Resident per Day
0.67520
Expected RN Staffing Hours per Resident per Day
1.49680
Expected Total Nurse Staffing Hours per Resident per Day
4.43963
Adjusted CNA Staffing Hours per Resident per Day
2.83044
Adjusted LPN Staffing Hours per Resident per Day
1.55598
Adjusted RN Staffing Hours per Resident per Day
0.83813
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04861
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2014-05-16
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.60000
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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