St Lukes Villa - Wilkes Barre Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
395581
Provider Name
ST LUKES VILLA
Provider Address
80 E. NORTHAMPTON STREET
WILKES BARRE, PA 18701
WILKES BARRE, PA 18701
Provider Phone Number
(570) 826-1031
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. LUKE'S VILLA
Date First Approved to Provide Medicare and Medicaid services
1983-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
4
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
2.62889
Reported LPN Staffing Hours per Resident per Day
0.53556
Reported RN Staffing Hours per Resident per Day
0.92778
Reported Licensed Staffing Hours per Resident per Day
1.46333
Reported Total Nurse Staffing Hours per Resident per Day
4.09223
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12667
Expected CNA Staffing Hours per Resident per Day
2.65896
Expected LPN Staffing Hours per Resident per Day
0.72885
Expected RN Staffing Hours per Resident per Day
1.27412
Expected Total Nurse Staffing Hours per Resident per Day
4.66193
Adjusted CNA Staffing Hours per Resident per Day
2.42595
Adjusted LPN Staffing Hours per Resident per Day
0.60988
Adjusted RN Staffing Hours per Resident per Day
0.54409
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53831
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
24
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
16
Cycle 2 Standard Health Survey Date
2014-05-14
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
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
2013-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.00000
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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