Rolling Fields, Inc - Conneautville Nursing Home
General Information
UPDATEFederal Provider Number
395619
Provider Name
ROLLING FIELDS, INC
Provider Address
9108 STATE HIGHWAY 198
CONNEAUTVILLE, PA 16406
CONNEAUTVILLE, PA 16406
Provider Phone Number
(814) 587-2012
Provider SSA County
260
Provider County Name
Crawford
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
181
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROLLING FIELDS INC
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19911
Reported LPN Staffing Hours per Resident per Day
0.95446
Reported RN Staffing Hours per Resident per Day
0.50060
Reported Licensed Staffing Hours per Resident per Day
1.45506
Reported Total Nurse Staffing Hours per Resident per Day
3.65417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.45588
Expected LPN Staffing Hours per Resident per Day
0.68301
Expected RN Staffing Hours per Resident per Day
1.10318
Expected Total Nurse Staffing Hours per Resident per Day
4.24207
Adjusted CNA Staffing Hours per Resident per Day
2.19716
Adjusted LPN Staffing Hours per Resident per Day
1.15987
Adjusted RN Staffing Hours per Resident per Day
0.33906
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47227
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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