Pinecrest Manor - St Marys Nursing Home
General Information
UPDATEFederal Provider Number
395279
Provider Name
PINECREST MANOR
Provider Address
763 JOHNSONBURG RD
ST MARYS, PA 15857
ST MARYS, PA 15857
Provider Phone Number
8147888488
Provider SSA County
310
Provider County Name
Elk
Ownership Type
Non profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ELK REGIONAL HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.31500
Reported LPN Staffing Hours per Resident per Day
1.10708
Reported RN Staffing Hours per Resident per Day
0.68083
Reported Licensed Staffing Hours per Resident per Day
1.78792
Reported Total Nurse Staffing Hours per Resident per Day
4.10291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04542
Expected CNA Staffing Hours per Resident per Day
2.53747
Expected LPN Staffing Hours per Resident per Day
0.67577
Expected RN Staffing Hours per Resident per Day
1.00491
Expected Total Nurse Staffing Hours per Resident per Day
4.21815
Adjusted CNA Staffing Hours per Resident per Day
2.23857
Adjusted LPN Staffing Hours per Resident per Day
1.35975
Adjusted RN Staffing Hours per Resident per Day
0.50623
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92077
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
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
2012-10-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
30.00000
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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