Shenandoah Manor Nursing Cente - Shenandoah Nursing Home
General Information
UPDATEFederal Provider Number
395556
Provider Name
SHENANDOAH MANOR NURSING CENTE
Provider Address
101 E. WASHINGTON ST
SHENANDOAH, PA 17976
SHENANDOAH, PA 17976
Provider Phone Number
(570) 462-1908
Provider SSA County
650
Provider County Name
Schuylkill
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
124
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SMNRC, LP
Date First Approved to Provide Medicare and Medicaid services
1982-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.19959
Reported LPN Staffing Hours per Resident per Day
0.97769
Reported RN Staffing Hours per Resident per Day
0.43719
Reported Licensed Staffing Hours per Resident per Day
1.41488
Reported Total Nurse Staffing Hours per Resident per Day
3.61447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04711
Expected CNA Staffing Hours per Resident per Day
2.64544
Expected LPN Staffing Hours per Resident per Day
0.72333
Expected RN Staffing Hours per Resident per Day
1.17022
Expected Total Nurse Staffing Hours per Resident per Day
4.53899
Adjusted CNA Staffing Hours per Resident per Day
2.04016
Adjusted LPN Staffing Hours per Resident per Day
1.12188
Adjusted RN Staffing Hours per Resident per Day
0.27915
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20987
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
12
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
28
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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