Smith Health Care Ltd - Mountain Top Nursing Home
General Information
UPDATEFederal Provider Number
395716
Provider Name
SMITH HEALTH CARE LTD
Provider Address
453 SOUTH MAIN ROAD
MOUNTAIN TOP, PA 18707
MOUNTAIN TOP, PA 18707
Provider Phone Number
(570) 868-3664
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SMITH NURSING & CONVALESCENT HOME INC
Date First Approved to Provide Medicare and Medicaid services
1986-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.58750
Reported LPN Staffing Hours per Resident per Day
0.95278
Reported RN Staffing Hours per Resident per Day
0.53889
Reported Licensed Staffing Hours per Resident per Day
1.49167
Reported Total Nurse Staffing Hours per Resident per Day
3.07917
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11944
Expected CNA Staffing Hours per Resident per Day
2.75675
Expected LPN Staffing Hours per Resident per Day
0.59714
Expected RN Staffing Hours per Resident per Day
0.82788
Expected Total Nurse Staffing Hours per Resident per Day
4.18176
Adjusted CNA Staffing Hours per Resident per Day
1.41299
Adjusted LPN Staffing Hours per Resident per Day
1.32433
Adjusted RN Staffing Hours per Resident per Day
0.48637
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96809
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2014-04-02
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
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
16
Total Weighted Health Survey Score
12.66700
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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