Village At Luther Square, The - Erie Nursing Home
General Information
UPDATEFederal Provider Number
395672
Provider Name
VILLAGE AT LUTHER SQUARE, THE
Provider Address
149 WEST 22ND STREET
ERIE, PA 16502
ERIE, PA 16502
Provider Phone Number
(814) 452-3271
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1984-07-16
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80278
Reported LPN Staffing Hours per Resident per Day
0.96019
Reported RN Staffing Hours per Resident per Day
0.45370
Reported Licensed Staffing Hours per Resident per Day
1.41389
Reported Total Nurse Staffing Hours per Resident per Day
3.21667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07315
Expected CNA Staffing Hours per Resident per Day
2.33555
Expected LPN Staffing Hours per Resident per Day
0.69412
Expected RN Staffing Hours per Resident per Day
1.14669
Expected Total Nurse Staffing Hours per Resident per Day
4.17636
Adjusted CNA Staffing Hours per Resident per Day
1.89398
Adjusted LPN Staffing Hours per Resident per Day
1.14816
Adjusted RN Staffing Hours per Resident per Day
0.29564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10463
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
64
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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