Dubois Nursing Home
P O Box 307, Dubois, PA 15801


Dubois Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395430. The address is P O Box 307, Dubois, PA 15801. The zip code is 15801. The phone number is 8143759100.


Dubois Nursing Home · P O Box 307, Dubois, PA 15801

Federal Provider Number 395430
Provider Name DUBOIS NURSING HOME
Address P O BOX 307
DUBOIS, PA 15801
Phone Number 8143759100
SSA County Code 230
County Name Clearfield
Ownership Type Non profit - Corporation
Certified Beds 140
Certified Beds Residents 119
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name DUBOIS CONTINUUM OF CARE COMMUNITY, INC.
Date First Approved to Provide Medicare Medicaid Services 02/01/1979
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.44706
Reported LPN Staffing Hours per Resident per Day 0.82857
Reported RN Staffing Hours per Resident per Day 0.86807
Reported Licensed Staffing Hours per Resident per Day 1.69664
Reported Total Nurse Staffing Hours per Resident per Day 4.1437
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06765
Expected CNA Staffing Hours per Resident per Day 2.61023
Expected LPN Staffing Hours per Resident per Day 0.77223
Expected RN Staffing Hours per Resident per Day 1.38659
Expected Total Nurse Staffing Hours per Resident per Day 4.76904
Adjusted CNA Staffing Hours per Resident per Day 2.30031
Adjusted LPN Staffing Hours per Resident per Day 0.89056
Adjusted RN Staffing Hours per Resident per Day 0.46778
Adjusted Total Nurse Staffing Hours per Resident per Day 3.50235
Cycle 1 Total Number of Health Deficiencies 17
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 128
Cycle 1 Standard Survey Health Date 09/09/2016
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 64
Cycle 1 Total Health Score 192
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 10/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 09/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 109.333
Number of Facility Reported Incidents 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Dubois Nursing Home

Owner Name Role Association Date
ADAMS, JOHN (Individual) DIRECTOR since 09/01/1997
BUNDY, DANYELL (Individual) DIRECTOR since 01/15/2014
COMPLETE HEALTHCARE RESOURCES-EASTERN, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/01/1999
HAMSCHER, JANICE (Individual) DIRECTOR since 06/13/2012
JOHNSTON, KRISTIE (Individual) DIRECTOR since 08/13/2014
KIRK, JOSEPH (Individual) DIRECTOR since 05/01/2010
MARTELLA, DENNIS (Individual) DIRECTOR since 03/11/2009
NESBIT, BECKY (Individual) MANAGING EMPLOYEE since 04/20/2016
OBERLIN, JOHN (Individual) DIRECTOR since 02/11/2015
SMITH, ARTHUR (Individual) DIRECTOR since 03/01/1997

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