Wesley Village - Pittston Nursing Home

General Information

UPDATE
Federal Provider Number
395602
Provider Name
WESLEY VILLAGE
Provider Address
209 ROBERTS ROAD
PITTSTON, PA 18640
Provider Phone Number
5706552891
Provider SSA County
480
Provider County Name
Luzerne
Ownership Type
Non profit - Corporation
Number of Certified Beds
183
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE METHODIST HOMES FOR THE AGING OF THE WYOMING CONFERENCE
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16345
Reported LPN Staffing Hours per Resident per Day
1.03538
Reported RN Staffing Hours per Resident per Day
0.85789
Reported Licensed Staffing Hours per Resident per Day
1.89327
Reported Total Nurse Staffing Hours per Resident per Day
4.05672
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10614
Expected CNA Staffing Hours per Resident per Day
2.72144
Expected LPN Staffing Hours per Resident per Day
0.70383
Expected RN Staffing Hours per Resident per Day
1.16259
Expected Total Nurse Staffing Hours per Resident per Day
4.58786
Adjusted CNA Staffing Hours per Resident per Day
1.95061
Adjusted LPN Staffing Hours per Resident per Day
1.22098
Adjusted RN Staffing Hours per Resident per Day
0.55137
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56424
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.00000
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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