Spiritrust Lutheran The Village At Utz Terrace - Hanover Nursing Home
General Information
UPDATEFederal Provider Number
396111
Provider Name
SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
Provider Address
2100 UTZ TERRACE
HANOVER, PA 17331
HANOVER, PA 17331
Provider Phone Number
(717) 637-0633
Provider SSA County
800
Provider County Name
York
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-06-18
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.09615
Reported LPN Staffing Hours per Resident per Day
0.99872
Reported RN Staffing Hours per Resident per Day
0.70513
Reported Licensed Staffing Hours per Resident per Day
1.70385
Reported Total Nurse Staffing Hours per Resident per Day
3.80000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06026
Expected CNA Staffing Hours per Resident per Day
2.76688
Expected LPN Staffing Hours per Resident per Day
0.70857
Expected RN Staffing Hours per Resident per Day
0.94347
Expected Total Nurse Staffing Hours per Resident per Day
4.41892
Adjusted CNA Staffing Hours per Resident per Day
1.85889
Adjusted LPN Staffing Hours per Resident per Day
1.16987
Adjusted RN Staffing Hours per Resident per Day
0.55844
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46633
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
2015-03-04
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
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
2014-01-29
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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