Valley View Haven, Inc - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
395787
Provider Name
VALLEY VIEW HAVEN, INC
Provider Address
4702 EAST MAIN STREET
BELLEVILLE, PA 17004
BELLEVILLE, PA 17004
Provider Phone Number
(717) 935-2105
Provider SSA County
540
Provider County Name
Mifflin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
122
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY VIEW HAVEN INC.
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04286
Reported LPN Staffing Hours per Resident per Day
1.40313
Reported RN Staffing Hours per Resident per Day
0.71563
Reported Licensed Staffing Hours per Resident per Day
2.11875
Reported Total Nurse Staffing Hours per Resident per Day
5.16162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09196
Expected CNA Staffing Hours per Resident per Day
2.64985
Expected LPN Staffing Hours per Resident per Day
0.71106
Expected RN Staffing Hours per Resident per Day
1.08628
Expected Total Nurse Staffing Hours per Resident per Day
4.44719
Adjusted CNA Staffing Hours per Resident per Day
2.81762
Adjusted LPN Staffing Hours per Resident per Day
1.63784
Adjusted RN Staffing Hours per Resident per Day
0.49225
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67846
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-21
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
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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