Susque View Home, Inc - Lock Haven Nursing Home
General Information
UPDATEFederal Provider Number
395616
Provider Name
SUSQUE VIEW HOME, INC
Provider Address
22 CREE DRIVE
LOCK HAVEN, PA 17745
LOCK HAVEN, PA 17745
Provider Phone Number
(570) 748-9377
Provider SSA County
240
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
146
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUSQUE-VIEW HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.45175
Reported LPN Staffing Hours per Resident per Day
1.13986
Reported RN Staffing Hours per Resident per Day
0.62203
Reported Licensed Staffing Hours per Resident per Day
1.76189
Reported Total Nurse Staffing Hours per Resident per Day
4.21364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06434
Expected CNA Staffing Hours per Resident per Day
2.60244
Expected LPN Staffing Hours per Resident per Day
0.60736
Expected RN Staffing Hours per Resident per Day
0.90950
Expected Total Nurse Staffing Hours per Resident per Day
4.11930
Adjusted CNA Staffing Hours per Resident per Day
2.31162
Adjusted LPN Staffing Hours per Resident per Day
1.55771
Adjusted RN Staffing Hours per Resident per Day
0.51103
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12322
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
38.00000
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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