West Haven Manor - Apollo Nursing Home
General Information
UPDATEFederal Provider Number
395371
Provider Name
WEST HAVEN MANOR
Provider Address
151 GOODVIEW DRIVE
APOLLO, PA 15613
APOLLO, PA 15613
Provider Phone Number
4127273451
Provider SSA County
770
Provider County Name
Westmoreland
Ownership Type
For profit - Partnership
Number of Certified Beds
177
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST HAVEN MANOR, LP
Date First Approved to Provide Medicare and Medicaid services
1976-12-03
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.25426
Reported LPN Staffing Hours per Resident per Day
0.98794
Reported RN Staffing Hours per Resident per Day
0.69362
Reported Licensed Staffing Hours per Resident per Day
1.68156
Reported Total Nurse Staffing Hours per Resident per Day
3.93582
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06170
Expected CNA Staffing Hours per Resident per Day
2.66066
Expected LPN Staffing Hours per Resident per Day
0.81962
Expected RN Staffing Hours per Resident per Day
1.40453
Expected Total Nurse Staffing Hours per Resident per Day
4.88481
Adjusted CNA Staffing Hours per Resident per Day
2.07891
Adjusted LPN Staffing Hours per Resident per Day
1.00046
Adjusted RN Staffing Hours per Resident per Day
0.36900
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24780
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-18
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-15
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
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
4713
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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