Shook Home The - Chambersburg Nursing Home

General Information

UPDATE
Federal Provider Number
395918
Provider Name
SHOOK HOME THE
Provider Address
55 SOUTH SECOND STREET
CHAMBERSBURG, PA 17201
Provider Phone Number
(717) 264-6815
Provider SSA County
350
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE SHOOK HOME
Date First Approved to Provide Medicare and Medicaid services
1993-12-13
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
4
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
2.79274
Reported LPN Staffing Hours per Resident per Day
0.78387
Reported RN Staffing Hours per Resident per Day
0.83629
Reported Licensed Staffing Hours per Resident per Day
1.62016
Reported Total Nurse Staffing Hours per Resident per Day
4.41290
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06694
Expected CNA Staffing Hours per Resident per Day
2.52286
Expected LPN Staffing Hours per Resident per Day
0.64545
Expected RN Staffing Hours per Resident per Day
1.18166
Expected Total Nurse Staffing Hours per Resident per Day
4.34997
Adjusted CNA Staffing Hours per Resident per Day
2.71618
Adjusted LPN Staffing Hours per Resident per Day
1.00800
Adjusted RN Staffing Hours per Resident per Day
0.52881
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08921
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-25
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
15.33300
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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