Pennsylvania Nursing Homes >> Coudersport Nursing Homes >> Sweden Valley Manor

Sweden Valley Manor - Coudersport Nursing Home

General Information

UPDATE
Federal Provider Number
395699
Provider Name
SWEDEN VALLEY MANOR
Provider Address
1028 EAST SECOND STREET
COUDERSPORT, PA 16915
Provider Phone Number
8142747610
Provider SSA County
640
Provider County Name
Potter
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF SWEDEN VALLEY, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-05-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.19500
Reported LPN Staffing Hours per Resident per Day
0.68150
Reported RN Staffing Hours per Resident per Day
0.62000
Reported Licensed Staffing Hours per Resident per Day
1.30150
Reported Total Nurse Staffing Hours per Resident per Day
3.49650
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.37114
Expected LPN Staffing Hours per Resident per Day
0.69835
Expected RN Staffing Hours per Resident per Day
1.19304
Expected Total Nurse Staffing Hours per Resident per Day
4.26253
Adjusted CNA Staffing Hours per Resident per Day
2.27142
Adjusted LPN Staffing Hours per Resident per Day
0.80997
Adjusted RN Staffing Hours per Resident per Day
0.38831
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30649
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
40
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
24.66700
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

Nursiong Homes Nearby

Charles Cole Memorial Hospital

1001 East Second Street | COUDERSPORT PA 16915 | 0.6 mile away

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