South Mountain Restoration Cen - South Mountain Nursing Home
General Information
UPDATEFederal Provider Number
395583
Provider Name
SOUTH MOUNTAIN RESTORATION CEN
Provider Address
BUILDING #1
SOUTH MOUNTAIN, PA 17261
SOUTH MOUNTAIN, PA 17261
Provider Phone Number
7177493121
Provider SSA County
350
Provider County Name
Franklin
Ownership Type
Government - State
Number of Certified Beds
159
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Date First Approved to Provide Medicare and Medicaid services
1985-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25782
Reported LPN Staffing Hours per Resident per Day
1.08061
Reported RN Staffing Hours per Resident per Day
1.00816
Reported Licensed Staffing Hours per Resident per Day
2.08878
Reported Total Nurse Staffing Hours per Resident per Day
4.34659
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.07407
Expected LPN Staffing Hours per Resident per Day
0.54306
Expected RN Staffing Hours per Resident per Day
0.69942
Expected Total Nurse Staffing Hours per Resident per Day
3.31655
Adjusted CNA Staffing Hours per Resident per Day
2.67109
Adjusted LPN Staffing Hours per Resident per Day
1.65158
Adjusted RN Staffing Hours per Resident per Day
1.07703
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28281
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
4
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
2.66700
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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