Providence Point Healthcare Residence - Pittsburgh Nursing Home
General Information
UPDATEFederal Provider Number
396124
Provider Name
PROVIDENCE POINT HEALTHCARE RESIDENCE
Provider Address
200 ADAMS AVE
PITTSBURGH, PA 15243
PITTSBURGH, PA 15243
Provider Phone Number
(412) 489-3560
Provider SSA County
10
Provider County Name
Allegheny
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
61
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
BAPTIST HOMES SOCIETY
Date First Approved to Provide Medicare and Medicaid services
2009-11-10
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.05410
Reported LPN Staffing Hours per Resident per Day
1.06803
Reported RN Staffing Hours per Resident per Day
1.16230
Reported Licensed Staffing Hours per Resident per Day
2.23033
Reported Total Nurse Staffing Hours per Resident per Day
5.28443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36639
Expected CNA Staffing Hours per Resident per Day
2.36712
Expected LPN Staffing Hours per Resident per Day
0.58306
Expected RN Staffing Hours per Resident per Day
1.00922
Expected Total Nurse Staffing Hours per Resident per Day
3.95940
Adjusted CNA Staffing Hours per Resident per Day
3.16581
Adjusted LPN Staffing Hours per Resident per Day
1.52036
Adjusted RN Staffing Hours per Resident per Day
0.86054
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37986
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
2014-07-03
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
2013-06-27
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
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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