Cornwall Manor
Boyd Street, Cornwall, PA 17016


Cornwall Manor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395180. The address is Boyd Street, Cornwall, PA 17016. The zip code is 17016. The phone number is 7172732647.


Cornwall Manor · Boyd Street, Cornwall, PA 17016

Federal Provider Number 395180
Provider Name CORNWALL MANOR
Address BOYD STREET
CORNWALL, PA 17016
Phone Number 7172732647
SSA County Code 460
County Name Lebanon
Ownership Type Non profit - Church related
Certified Beds 96
Certified Beds Residents 88
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CORNWALL MANOR
Date First Approved to Provide Medicare Medicaid Services 03/13/1967
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.46761
Reported LPN Staffing Hours per Resident per Day 0.98693
Reported RN Staffing Hours per Resident per Day 0.53239
Reported Licensed Staffing Hours per Resident per Day 1.51932
Reported Total Nurse Staffing Hours per Resident per Day 3.98693
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17045
Expected CNA Staffing Hours per Resident per Day 2.49752
Expected LPN Staffing Hours per Resident per Day 0.62103
Expected RN Staffing Hours per Resident per Day 1.03186
Expected Total Nurse Staffing Hours per Resident per Day 4.15041
Adjusted CNA Staffing Hours per Resident per Day 2.42432
Adjusted LPN Staffing Hours per Resident per Day 1.31903
Adjusted RN Staffing Hours per Resident per Day 0.38552
Adjusted Total Nurse Staffing Hours per Resident per Day 3.87213
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 04/07/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Standard Health Survey Date 03/11/2016
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 04/03/2015
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 2.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Cornwall Manor

Owner Name Role Association Date
ARNOLD, ELLEN (Individual) DIRECTOR since 09/15/2015
ARNOLD, JEANNE (Individual) DIRECTOR since 07/15/2014
CLAUS, FRANK (Individual) DIRECTOR since 07/01/2011
CORNWALL MANOR (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/1966
CRUICKSHANK, JAMES (Individual) DIRECTOR since 09/15/2015
GRIFFITHS, DIANE (Individual) DIRECTOR since 03/01/2011
HASSINGER, STEVEN (Individual) OFFICER since 07/01/1989
HINKLE, SANDRA (Individual) MANAGING EMPLOYEE since 09/06/1992
LEISTER, LARRY (Individual) DIRECTOR since 09/17/2013
MAURER, THOMAS (Individual) DIRECTOR since 09/18/2012
PEIFFER, ANNE (Individual) MANAGING EMPLOYEE since 04/09/1990
PEIFFER, ANNE (Individual) OFFICER since 04/09/1990
PEIFFER, EDWARD (Individual) MANAGING EMPLOYEE since 10/01/2009
PEIFFER, EDWARD (Individual) OFFICER since 10/01/2009
PHILLIPS, JOHN (Individual) DIRECTOR since 09/16/2014
PYLES, PETER (Individual) DIRECTOR since 01/19/2016
RAFFAUF, JEFFREY (Individual) DIRECTOR since 11/15/2016
SHEFFEY, TIMOTHY (Individual) DIRECTOR since 09/16/2014
SNOBERGER, REDITH (Individual) DIRECTOR since 05/21/2013
STICKLER, LEE (Individual) MANAGING EMPLOYEE since 11/28/1988
STICKLER, LEE (Individual) OFFICER since 11/28/1988
STRICKLER, MINNIE (Individual) MANAGING EMPLOYEE since 04/24/2010
WALIZER, CURTIS (Individual) DIRECTOR since 09/18/2012
WEIDMAN, PAUL (Individual) MANAGING EMPLOYEE since 05/20/1991
WEIDMAN, PAUL (Individual) OFFICER since 05/20/1991

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