Spang Crest Manor - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
395365
Provider Name
SPANG CREST MANOR
Provider Address
945 DUKE STREET
LEBANON, PA 17042
LEBANON, PA 17042
Provider Phone Number
(717) 274-1495
Provider SSA County
460
Provider County Name
Lebanon
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
105
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERCARE
Date First Approved to Provide Medicare and Medicaid services
1977-01-17
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.93713
Reported LPN Staffing Hours per Resident per Day
1.37723
Reported RN Staffing Hours per Resident per Day
0.68515
Reported Licensed Staffing Hours per Resident per Day
2.06238
Reported Total Nurse Staffing Hours per Resident per Day
4.99951
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06634
Expected CNA Staffing Hours per Resident per Day
2.70759
Expected LPN Staffing Hours per Resident per Day
0.74658
Expected RN Staffing Hours per Resident per Day
1.27252
Expected Total Nurse Staffing Hours per Resident per Day
4.72669
Adjusted CNA Staffing Hours per Resident per Day
2.66171
Adjusted LPN Staffing Hours per Resident per Day
1.53112
Adjusted RN Staffing Hours per Resident per Day
0.40231
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26356
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
2014-07-03
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
7.33300
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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