Village At Pennwood - Pittsburgh Nursing Home
General Information
UPDATEFederal Provider Number
395883
Provider Name
VILLAGE AT PENNWOOD
Provider Address
909 WEST STREET
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
Provider Phone Number
(412) 723-3662
Provider SSA County
10
Provider County Name
Allegheny
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
126
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENNWOOD OPERATOR LP
Date First Approved to Provide Medicare and Medicaid services
1992-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.11460
Reported LPN Staffing Hours per Resident per Day
0.84204
Reported RN Staffing Hours per Resident per Day
0.71416
Reported Licensed Staffing Hours per Resident per Day
1.55619
Reported Total Nurse Staffing Hours per Resident per Day
3.67080
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05796
Expected CNA Staffing Hours per Resident per Day
2.31042
Expected LPN Staffing Hours per Resident per Day
0.67361
Expected RN Staffing Hours per Resident per Day
1.23449
Expected Total Nurse Staffing Hours per Resident per Day
4.21853
Adjusted CNA Staffing Hours per Resident per Day
2.24573
Adjusted LPN Staffing Hours per Resident per Day
1.03753
Adjusted RN Staffing Hours per Resident per Day
0.43226
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50753
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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