Upmc Tcu - Pittsburgh Nursing Home
General Information
UPDATEFederal Provider Number
396040
Provider Name
UPMC TCU
Provider Address
200 LOTHROP STREET
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
Provider Phone Number
(412) 692-4260
Provider SSA County
10
Provider County Name
Allegheny
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
30
Number of Residents in Certified Beds
19
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
UPMC PRESBY SHADYSIDE
Date First Approved to Provide Medicare and Medicaid services
1997-10-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.67632
Reported LPN Staffing Hours per Resident per Day
2.23947
Reported RN Staffing Hours per Resident per Day
3.03684
Reported Licensed Staffing Hours per Resident per Day
5.27632
Reported Total Nurse Staffing Hours per Resident per Day
5.95263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45000
Expected CNA Staffing Hours per Resident per Day
2.44748
Expected LPN Staffing Hours per Resident per Day
0.98174
Expected RN Staffing Hours per Resident per Day
2.10397
Expected Total Nurse Staffing Hours per Resident per Day
5.53319
Adjusted CNA Staffing Hours per Resident per Day
0.67804
Adjusted LPN Staffing Hours per Resident per Day
1.89332
Adjusted RN Staffing Hours per Resident per Day
1.07850
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33646
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
12
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.66700
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
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