Shippensburg Health Care Cente - Shippensburg Nursing Home
General Information
UPDATEFederal Provider Number
395964
Provider Name
SHIPPENSBURG HEALTH CARE CENTE
Provider Address
121 WALNUT BOTTOM ROAD
SHIPPENSBURG, PA 17257
SHIPPENSBURG, PA 17257
Provider Phone Number
(717) 530-8300
Provider SSA County
270
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PERINI SERVICES/SOUTHAMPTON MANOR LP
Date First Approved to Provide Medicare and Medicaid services
1995-10-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.73661
Reported LPN Staffing Hours per Resident per Day
0.77143
Reported RN Staffing Hours per Resident per Day
0.82054
Reported Licensed Staffing Hours per Resident per Day
1.59196
Reported Total Nurse Staffing Hours per Resident per Day
3.32858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03125
Expected CNA Staffing Hours per Resident per Day
2.50017
Expected LPN Staffing Hours per Resident per Day
0.67166
Expected RN Staffing Hours per Resident per Day
1.12507
Expected Total Nurse Staffing Hours per Resident per Day
4.29690
Adjusted CNA Staffing Hours per Resident per Day
1.70434
Adjusted LPN Staffing Hours per Resident per Day
0.95329
Adjusted RN Staffing Hours per Resident per Day
0.54495
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12252
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
24
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.66700
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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