Weatherwood Nursing Home And Rehab Ctr - Weatherly Nursing Home
General Information
UPDATEFederal Provider Number
395464
Provider Name
WEATHERWOOD NURSING HOME AND REHAB CTR
Provider Address
1000 EVERGREEN AVENUE
WEATHERLY, PA 18255
WEATHERLY, PA 18255
Provider Phone Number
(570) 427-8683
Provider SSA County
190
Provider County Name
Carbon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
195
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ELDER CARE AT WEATHERLY I LLC
Date First Approved to Provide Medicare and Medicaid services
1979-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.30923
Reported LPN Staffing Hours per Resident per Day
0.90333
Reported RN Staffing Hours per Resident per Day
0.61667
Reported Licensed Staffing Hours per Resident per Day
1.52000
Reported Total Nurse Staffing Hours per Resident per Day
3.82923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05872
Expected CNA Staffing Hours per Resident per Day
2.51610
Expected LPN Staffing Hours per Resident per Day
0.73893
Expected RN Staffing Hours per Resident per Day
1.45501
Expected Total Nurse Staffing Hours per Resident per Day
4.71004
Adjusted CNA Staffing Hours per Resident per Day
2.25196
Adjusted LPN Staffing Hours per Resident per Day
1.01466
Adjusted RN Staffing Hours per Resident per Day
0.31668
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27709
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
27
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
176
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
96.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
51773
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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