Lutheran Home At Johnstown, The is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395439. The address is 807 Goucher Street, Johnstown, PA 15905. The zip code is 15905. The phone number is 8142556844.
| Federal Provider Number | 395439 |
| Provider Name | LUTHERAN HOME AT JOHNSTOWN, THE |
| Address | 807 GOUCHER STREET JOHNSTOWN, PA 15905 |
| Phone Number | 8142556844 |
| SSA County Code | 160 |
| County Name | Cambria |
| Ownership Type | Non profit - Church related |
| Certified Beds | 63 |
| Certified Beds Residents | 52 |
| Provider Type | Medicare and Medicaid |
| Resides in Hospital | false |
| Legal Business Name | ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC. |
| Date First Approved to Provide Medicare Medicaid Services | 08/01/1979 |
| 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 | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality Measure Rating | 3 |
| Staffing Rating | 2 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.03846 |
| Reported LPN Staffing Hours per Resident per Day | 0.61827 |
| Reported RN Staffing Hours per Resident per Day | 0.89327 |
| Reported Licensed Staffing Hours per Resident per Day | 1.51154 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.55 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10673 |
| Expected CNA Staffing Hours per Resident per Day | 2.77011 |
| Expected LPN Staffing Hours per Resident per Day | 0.6847 |
| Expected RN Staffing Hours per Resident per Day | 1.06436 |
| Expected Total Nurse Staffing Hours per Resident per Day | 4.51917 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.80562 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.74947 |
| Adjusted RN Staffing Hours per Resident per Day | 0.62709 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.16644 |
| Cycle 1 Total Number of Health Deficiencies | 18 |
| Cycle 1 Number of Standard Health Deficiencies | 14 |
| Cycle 1 Number of Complaint Health Deficiencies | 4 |
| Cycle 1 Health Deficiency Score | 136 |
| Cycle 1 Standard Survey Health Date | 04/11/2017 |
| Cycle 1 Total Health Score | 136 |
| Cycle 2 Total Number of Health Deficiencies | 21 |
| Cycle 2 Number of Standard Health Deficiencies | 3 |
| Cycle 2 Number of Complaint Health Deficiencies | 18 |
| Cycle 2 Health Deficiency Score | 92 |
| Cycle 2 Standard Health Survey Date | 03/23/2016 |
| Cycle 2 Number of Health Revisits | 1 |
| Cycle 2 Total Health Score | 92 |
| Cycle 3 Total Number of Health Deficiencies | 19 |
| Cycle 3 Number of Standard Health Deficiencies | 11 |
| Cycle 3 Number of Complaint Health Deficiencies | 8 |
| Cycle 3 Health Deficiency Score | 80 |
| Cycle 3 Standard Health Survey Date | 04/30/2015 |
| Cycle 3 Number of Health Revisits | 1 |
| Cycle 3 Total Health Score | 80 |
| Total Weighted Health Survey Score | 112 |
| Number of Facility Reported Incidents | 1 |
| Number of Substantiated Complaints | 14 |
| Total Amount of Fines in Dollars | $0.00 |
| Processing Date | 08/01/2017 |
| Owner Name | Role | Association Date |
|---|---|---|
| ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC. (Organization) |
5% OR GREATER DIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 01/01/2014 |
| BOWERSOX, EDWARD (Individual) | OFFICER | since 01/01/2016 |
| BRENNEMAN, HELEN (Individual) | OFFICER | since 07/01/2008 |
| COBAUGH, DAVID (Individual) | OFFICER | since 01/01/2010 |
| FREDERICK, CAROL (Individual) | OFFICER | since 01/01/2016 |
| GLEN, SUZANNE (Individual) | OFFICER | since 01/01/2016 |
| LLOYD, WILLIAM (Individual) | OFFICER | since 05/01/2011 |
| MEARKLE, AMY (Individual) | OFFICER | since 05/01/2012 |
| MILLER, JOHN (Individual) | OFFICER | since 01/01/2016 |
| REIGHARD, CHRISTOPHER (Individual) | DIRECTOR | since 09/20/2006 |
| REIGHARD, CHRISTOPHER (Individual) | MANAGING EMPLOYEE | since 05/24/1999 |
| RHYNE, MICHAEL (Individual) | OFFICER | since 01/01/2016 |
| SAVAGE, PATRICIA (Individual) | DIRECTOR | since 09/20/2006 |
| SAVAGE, PATRICIA (Individual) | MANAGING EMPLOYEE | since 01/26/1996 |
| SMITH, ELAINE (Individual) | OFFICER | since 01/01/2016 |
| THOMPSON, WILLIAM (Individual) | OFFICER | since 09/20/2006 |
| WHIPKEY, RICHARD (Individual) | OFFICER | since 01/01/2012 |
| WILLIAMSON, SUSAN (Individual) | OFFICER | since 01/01/2013 |
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