Village At Penn State, The - State College Nursing Home
General Information
UPDATEFederal Provider Number
396092
Provider Name
VILLAGE AT PENN STATE, THE
Provider Address
260 LION'S HILL ROAD
STATE COLLEGE, PA 16803
STATE COLLEGE, PA 16803
Provider Phone Number
(814) 238-1949
Provider SSA County
200
Provider County Name
Centre
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
27
Number of Residents in Certified Beds
23
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIBERTY LUTHERAN HOUSING DEVELOPMENT CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2004-07-06
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.78261
Reported LPN Staffing Hours per Resident per Day
1.04348
Reported RN Staffing Hours per Resident per Day
1.40217
Reported Licensed Staffing Hours per Resident per Day
2.44565
Reported Total Nurse Staffing Hours per Resident per Day
5.22826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24783
Expected CNA Staffing Hours per Resident per Day
2.33202
Expected LPN Staffing Hours per Resident per Day
0.53055
Expected RN Staffing Hours per Resident per Day
0.80651
Expected Total Nurse Staffing Hours per Resident per Day
3.66908
Adjusted CNA Staffing Hours per Resident per Day
2.92780
Adjusted LPN Staffing Hours per Resident per Day
1.63242
Adjusted RN Staffing Hours per Resident per Day
1.29905
Adjusted Total Nurse Staffing Hours per Resident per Day
5.74383
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
15.33300
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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