Wayne Woodlands Manor - Waymart Nursing Home
General Information
UPDATEFederal Provider Number
395936
Provider Name
WAYNE WOODLANDS MANOR
Provider Address
37 WOODLANDS DRIVE
WAYMART, PA 18472
WAYMART, PA 18472
Provider Phone Number
(570) 488-7130
Provider SSA County
760
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAYNE WOODLANDS MANOR
Date First Approved to Provide Medicare and Medicaid services
1994-09-22
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.04327
Reported LPN Staffing Hours per Resident per Day
0.89856
Reported RN Staffing Hours per Resident per Day
0.53654
Reported Licensed Staffing Hours per Resident per Day
1.43510
Reported Total Nurse Staffing Hours per Resident per Day
3.47837
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11010
Expected CNA Staffing Hours per Resident per Day
2.54485
Expected LPN Staffing Hours per Resident per Day
0.65116
Expected RN Staffing Hours per Resident per Day
1.08505
Expected Total Nurse Staffing Hours per Resident per Day
4.28106
Adjusted CNA Staffing Hours per Resident per Day
1.97008
Adjusted LPN Staffing Hours per Resident per Day
1.14535
Adjusted RN Staffing Hours per Resident per Day
0.36948
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27511
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-09
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-05-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
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
20
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
44.66700
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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