Rest Haven - Schuylkill Haven Nursing Home
General Information
UPDATEFederal Provider Number
395416
Provider Name
REST HAVEN
Provider Address
401 UNIVERSITY DRIVE
SCHUYLKILL HAVEN, PA 17972
SCHUYLKILL HAVEN, PA 17972
Provider Phone Number
(570) 385-0331
Provider SSA County
650
Provider County Name
Schuylkill
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF SCHUYKILL
Date First Approved to Provide Medicare and Medicaid services
1978-08-18
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13419
Reported LPN Staffing Hours per Resident per Day
0.72537
Reported RN Staffing Hours per Resident per Day
0.37243
Reported Licensed Staffing Hours per Resident per Day
1.09779
Reported Total Nurse Staffing Hours per Resident per Day
3.23199
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03419
Expected CNA Staffing Hours per Resident per Day
2.58014
Expected LPN Staffing Hours per Resident per Day
0.68100
Expected RN Staffing Hours per Resident per Day
1.02691
Expected Total Nurse Staffing Hours per Resident per Day
4.28806
Adjusted CNA Staffing Hours per Resident per Day
2.02960
Adjusted LPN Staffing Hours per Resident per Day
0.88408
Adjusted RN Staffing Hours per Resident per Day
0.27099
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03817
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.66700
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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