Warren Manor - Warren Nursing Home
General Information
UPDATEFederal Provider Number
395650
Provider Name
WARREN MANOR
Provider Address
682 PLEASANT DRIVE
WARREN, PA 16365
WARREN, PA 16365
Provider Phone Number
(814) 723-7060
Provider SSA County
740
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF WARREN, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-04-18
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.17524
Reported LPN Staffing Hours per Resident per Day
0.83143
Reported RN Staffing Hours per Resident per Day
0.68762
Reported Licensed Staffing Hours per Resident per Day
1.51905
Reported Total Nurse Staffing Hours per Resident per Day
3.69429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10048
Expected CNA Staffing Hours per Resident per Day
2.53779
Expected LPN Staffing Hours per Resident per Day
0.65906
Expected RN Staffing Hours per Resident per Day
1.20845
Expected Total Nurse Staffing Hours per Resident per Day
4.40530
Adjusted CNA Staffing Hours per Resident per Day
2.10316
Adjusted LPN Staffing Hours per Resident per Day
1.04708
Adjusted RN Staffing Hours per Resident per Day
0.42517
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38032
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
32
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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