Susquehanna Valley Nursing & Rehabilitation Center - Columbia Nursing Home

General Information

UPDATE
Federal Provider Number
395400
Provider Name
SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER
Provider Address
745 CHIQUES HILL ROAD
COLUMBIA, PA 17512
Provider Phone Number
7176847555
Provider SSA County
440
Provider County Name
Lancaster
Ownership Type
For profit - Partnership
Number of Certified Beds
173
Number of Residents in Certified Beds
142
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUSQUEHANNA VALLEY NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.46303
Reported LPN Staffing Hours per Resident per Day
0.95035
Reported RN Staffing Hours per Resident per Day
0.55352
Reported Licensed Staffing Hours per Resident per Day
1.50387
Reported Total Nurse Staffing Hours per Resident per Day
3.96690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05176
Expected CNA Staffing Hours per Resident per Day
2.34500
Expected LPN Staffing Hours per Resident per Day
0.61544
Expected RN Staffing Hours per Resident per Day
1.00708
Expected Total Nurse Staffing Hours per Resident per Day
3.96753
Adjusted CNA Staffing Hours per Resident per Day
2.57720
Adjusted LPN Staffing Hours per Resident per Day
1.28167
Adjusted RN Staffing Hours per Resident per Day
0.41068
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03026
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-18
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
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
56
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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Calvary Fellowship Homes Inc

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