Lutheran Home At Johnstown, The
807 Goucher Street, Johnstown, PA 15905


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.


Lutheran Home At Johnstown, The · 807 Goucher Street, Johnstown, PA 15905

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 or Manager · Lutheran Home At Johnstown, The

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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