Sarah A Todd Memorial Home - Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
395677
Provider Name
SARAH A TODD MEMORIAL HOME
Provider Address
1000 WEST SOUTH STREET
CARLISLE, PA 17013
CARLISLE, PA 17013
Provider Phone Number
(717) 245-2187
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED CHURCH OF CHRIST HOMES
Date First Approved to Provide Medicare and Medicaid services
1984-07-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.68964
Reported LPN Staffing Hours per Resident per Day
0.78559
Reported RN Staffing Hours per Resident per Day
0.84009
Reported Licensed Staffing Hours per Resident per Day
1.62568
Reported Total Nurse Staffing Hours per Resident per Day
4.31532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05270
Expected CNA Staffing Hours per Resident per Day
2.63228
Expected LPN Staffing Hours per Resident per Day
0.66153
Expected RN Staffing Hours per Resident per Day
1.02405
Expected Total Nurse Staffing Hours per Resident per Day
4.31786
Adjusted CNA Staffing Hours per Resident per Day
2.50717
Adjusted LPN Staffing Hours per Resident per Day
0.98565
Adjusted RN Staffing Hours per Resident per Day
0.61298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02853
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-05-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
40
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
44
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
44.66700
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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