Rochester Manor - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
395751
Provider Name
ROCHESTER MANOR
Provider Address
174 VIRGINIA AVENUE
ROCHESTER, PA 15074
ROCHESTER, PA 15074
Provider Phone Number
(724) 775-6400
Provider SSA County
80
Provider County Name
Beaver
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KOPSACK ASSOCIATES, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-04-13
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.74438
Reported LPN Staffing Hours per Resident per Day
0.57921
Reported RN Staffing Hours per Resident per Day
1.18315
Reported Licensed Staffing Hours per Resident per Day
1.76236
Reported Total Nurse Staffing Hours per Resident per Day
3.50674
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13652
Expected CNA Staffing Hours per Resident per Day
2.42881
Expected LPN Staffing Hours per Resident per Day
0.69748
Expected RN Staffing Hours per Resident per Day
1.24502
Expected Total Nurse Staffing Hours per Resident per Day
4.37131
Adjusted CNA Staffing Hours per Resident per Day
1.76225
Adjusted LPN Staffing Hours per Resident per Day
0.68926
Adjusted RN Staffing Hours per Resident per Day
0.71007
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23365
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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