Saint John Xxiii Home - Hermitage Nursing Home
General Information
UPDATEFederal Provider Number
395794
Provider Name
SAINT JOHN XXIII HOME
Provider Address
2250 SHENANGO FREEWAY
HERMITAGE, PA 16148
HERMITAGE, PA 16148
Provider Phone Number
7249813200
Provider SSA County
530
Provider County Name
Mercer
Ownership Type
Non profit - Church related
Number of Certified Beds
90
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHN XXIII HOME
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38095
Reported LPN Staffing Hours per Resident per Day
1.00833
Reported RN Staffing Hours per Resident per Day
0.70417
Reported Licensed Staffing Hours per Resident per Day
1.71250
Reported Total Nurse Staffing Hours per Resident per Day
4.09345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06786
Expected CNA Staffing Hours per Resident per Day
2.66684
Expected LPN Staffing Hours per Resident per Day
0.63047
Expected RN Staffing Hours per Resident per Day
0.95093
Expected Total Nurse Staffing Hours per Resident per Day
4.24824
Adjusted CNA Staffing Hours per Resident per Day
2.19066
Adjusted LPN Staffing Hours per Resident per Day
1.32745
Adjusted RN Staffing Hours per Resident per Day
0.55331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88403
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
42.00000
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
Nursiong Homes Nearby
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500 Clarksville Road |
HERMITAGE PA 16148 | 0.9 mile away
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HERMITAGE PA 16148 | 1.3 miles away
Clepper Manor
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SHARON PA 16146 | 1.4 miles away
Sharon Regional Health System Tcu
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SHARON PA 16146 | 1.7 miles away
Countryside Conval Home Ltd Pa
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MERCER PA 16137 | 10.4 miles away
Avalon Springs Nursing Center
745 Greenville Road |
MERCER PA 16137 | 11.2 miles away
Saint Paul Homes
339 East Jamestown Road |
GREENVILLE PA 16125 | 14.6 miles away
Trinity Living Center
400 Hillcrest Avenue |
GROVE CITY PA 16127 | 20.1 miles away
Grove City Medical Center Tcc
631 North Broad St |
GROVE CITY PA 16127 | 20.3 miles away
Grove Manor
435 North Broad Street |
GROVE CITY PA 16127 | 20.3 miles away
Orchard Manor, Inc
20 Orchard Drive |
GROVE CITY PA 16127 | 20.9 miles away
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