Pleasant Valley Manor, Inc - Stroudsburg Nursing Home
General Information
UPDATEFederal Provider Number
395491
Provider Name
PLEASANT VALLEY MANOR, INC
Provider Address
4227 MANOR DRIVE
STROUDSBURG, PA 18360
STROUDSBURG, PA 18360
Provider Phone Number
(570) 992-4172
Provider SSA County
550
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT VALLEY MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-04-09
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34706
Reported LPN Staffing Hours per Resident per Day
0.88265
Reported RN Staffing Hours per Resident per Day
0.45824
Reported Licensed Staffing Hours per Resident per Day
1.34088
Reported Total Nurse Staffing Hours per Resident per Day
3.68795
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03353
Expected CNA Staffing Hours per Resident per Day
2.72346
Expected LPN Staffing Hours per Resident per Day
0.68186
Expected RN Staffing Hours per Resident per Day
1.00253
Expected Total Nurse Staffing Hours per Resident per Day
4.40785
Adjusted CNA Staffing Hours per Resident per Day
2.11458
Adjusted LPN Staffing Hours per Resident per Day
1.07441
Adjusted RN Staffing Hours per Resident per Day
0.34153
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37256
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
58
Cycle 1 Total Health Score
174
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
119.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
44303
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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