Susquehanna Health Skilled Nursing & Rehabilitatio - Muncy Nursing Home
General Information
UPDATEFederal Provider Number
395571
Provider Name
SUSQUEHANNA HEALTH SKILLED NURSING & REHABILITATIO
Provider Address
215 EAST WATER STREET
MUNCY, PA 17756
MUNCY, PA 17756
Provider Phone Number
(570) 546-4040
Provider SSA County
510
Provider County Name
Lycoming
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MUNCY VALLEY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-04-06
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.48386
Reported LPN Staffing Hours per Resident per Day
1.32165
Reported RN Staffing Hours per Resident per Day
0.91614
Reported Licensed Staffing Hours per Resident per Day
2.23780
Reported Total Nurse Staffing Hours per Resident per Day
4.72165
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13740
Expected CNA Staffing Hours per Resident per Day
2.61297
Expected LPN Staffing Hours per Resident per Day
0.77348
Expected RN Staffing Hours per Resident per Day
1.23081
Expected Total Nurse Staffing Hours per Resident per Day
4.61725
Adjusted CNA Staffing Hours per Resident per Day
2.33246
Adjusted LPN Staffing Hours per Resident per Day
1.41823
Adjusted RN Staffing Hours per Resident per Day
0.55617
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12204
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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