Pennsylvania Soldiers And Sailors Home - Erie Nursing Home
General Information
UPDATEFederal Provider Number
39A434
Provider Name
PENNSYLVANIA SOLDIERS AND SAILORS HOME
Provider Address
PO BOX 6239
ERIE, PA 16512
ERIE, PA 16512
Provider Phone Number
(814) 871-4531
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
107
Number of Residents in Certified Beds
107
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-01-01
Continuing Care Retirement Community
N
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.79766
Reported LPN Staffing Hours per Resident per Day
1.10935
Reported RN Staffing Hours per Resident per Day
1.22617
Reported Licensed Staffing Hours per Resident per Day
2.33551
Reported Total Nurse Staffing Hours per Resident per Day
5.13318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00654
Expected CNA Staffing Hours per Resident per Day
2.39986
Expected LPN Staffing Hours per Resident per Day
0.58193
Expected RN Staffing Hours per Resident per Day
0.80548
Expected Total Nurse Staffing Hours per Resident per Day
3.78728
Adjusted CNA Staffing Hours per Resident per Day
2.86042
Adjusted LPN Staffing Hours per Resident per Day
1.58225
Adjusted RN Staffing Hours per Resident per Day
1.13745
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46338
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
12
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
12
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
2012-12-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
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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