Rolling Hills Manor - Millmont Nursing Home

General Information

UPDATE
Federal Provider Number
395614
Provider Name
ROLLING HILLS MANOR
Provider Address
17350 OLD TURNPIKE ROAD
MILLMONT, PA 17845
Provider Phone Number
(570) 922-3351
Provider SSA County
720
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ELDER CARE AT MILLMONT LLC
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
2
Health Inspection Rating Footnote
QM Rating
3
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
1.99057
Reported LPN Staffing Hours per Resident per Day
1.05000
Reported RN Staffing Hours per Resident per Day
0.45283
Reported Licensed Staffing Hours per Resident per Day
1.50283
Reported Total Nurse Staffing Hours per Resident per Day
3.49340
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02264
Expected CNA Staffing Hours per Resident per Day
2.60374
Expected LPN Staffing Hours per Resident per Day
0.71308
Expected RN Staffing Hours per Resident per Day
1.32658
Expected Total Nurse Staffing Hours per Resident per Day
4.64340
Adjusted CNA Staffing Hours per Resident per Day
1.87586
Adjusted LPN Staffing Hours per Resident per Day
1.22216
Adjusted RN Staffing Hours per Resident per Day
0.25506
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03259
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
16
Cycle 2 Standard Health Survey Date
2014-03-21
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
40.66700
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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