Ridgeview Healthcare & Rehab Center Llc - Shenandoah Nursing Home
General Information
UPDATEFederal Provider Number
395929
Provider Name
RIDGEVIEW HEALTHCARE & REHAB CENTER LLC
Provider Address
200 PENNSYLVANIA AVENUE
SHENANDOAH, PA 17976
SHENANDOAH, PA 17976
Provider Phone Number
(570) 462-1921
Provider SSA County
650
Provider County Name
Schuylkill
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIDGEVIEW HEALTHCARE & REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.85443
Reported LPN Staffing Hours per Resident per Day
0.77595
Reported RN Staffing Hours per Resident per Day
0.67152
Reported Licensed Staffing Hours per Resident per Day
1.44747
Reported Total Nurse Staffing Hours per Resident per Day
3.30190
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07658
Expected CNA Staffing Hours per Resident per Day
2.53289
Expected LPN Staffing Hours per Resident per Day
0.78966
Expected RN Staffing Hours per Resident per Day
1.31793
Expected Total Nurse Staffing Hours per Resident per Day
4.64048
Adjusted CNA Staffing Hours per Resident per Day
1.79645
Adjusted LPN Staffing Hours per Resident per Day
0.81559
Adjusted RN Staffing Hours per Resident per Day
0.38072
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86816
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
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
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
107.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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