Riverstreet Manor - Wilkes-barre Nursing Home
General Information
UPDATEFederal Provider Number
395691
Provider Name
RIVERSTREET MANOR
Provider Address
440 NORTH RIVER STREET
WILKES-BARRE, PA 18702
WILKES-BARRE, PA 18702
Provider Phone Number
(570) 825-5611
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
440 NORTH RIVER STREET OPNS LLC
Date First Approved to Provide Medicare and Medicaid services
1985-03-05
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
1.95174
Reported LPN Staffing Hours per Resident per Day
0.78304
Reported RN Staffing Hours per Resident per Day
0.66696
Reported Licensed Staffing Hours per Resident per Day
1.45000
Reported Total Nurse Staffing Hours per Resident per Day
3.40174
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07826
Expected CNA Staffing Hours per Resident per Day
2.70920
Expected LPN Staffing Hours per Resident per Day
0.75546
Expected RN Staffing Hours per Resident per Day
1.26616
Expected Total Nurse Staffing Hours per Resident per Day
4.73082
Adjusted CNA Staffing Hours per Resident per Day
1.76768
Adjusted LPN Staffing Hours per Resident per Day
0.86030
Adjusted RN Staffing Hours per Resident per Day
0.39359
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89845
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
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
2013-09-26
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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