Rolling Fields, Inc
9108 State Highway 198, Conneautville, PA 16406


Rolling Fields, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395619. The address is 9108 State Highway 198, Conneautville, PA 16406. The zip code is 16406. The phone number is 8145872012.


Rolling Fields, Inc · 9108 State Highway 198, Conneautville, PA 16406

Federal Provider Number 395619
Provider Name ROLLING FIELDS, INC
Address 9108 STATE HIGHWAY 198
CONNEAUTVILLE, PA 16406
Phone Number 8145872012
SSA County Code 260
County Name Crawford
Ownership Type For profit - Corporation
Certified Beds 181
Certified Beds Residents 157
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ROLLING FIELDS INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1984
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 5
Health Inspection Rating 5
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.21847
Reported LPN Staffing Hours per Resident per Day 0.8586
Reported RN Staffing Hours per Resident per Day 0.76561
Reported Licensed Staffing Hours per Resident per Day 1.6242
Reported Total Nurse Staffing Hours per Resident per Day 3.84268
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03503
Expected CNA Staffing Hours per Resident per Day 2.52883
Expected LPN Staffing Hours per Resident per Day 0.6848
Expected RN Staffing Hours per Resident per Day 1.0786
Expected Total Nurse Staffing Hours per Resident per Day 4.29222
Adjusted CNA Staffing Hours per Resident per Day 2.15256
Adjusted LPN Staffing Hours per Resident per Day 1.04066
Adjusted RN Staffing Hours per Resident per Day 0.53038
Adjusted Total Nurse Staffing Hours per Resident per Day 3.60873
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 05/05/2017
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 06/30/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 07/31/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 12.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Rolling Fields, Inc

Owner Name Role Association Date
BRAHAM, MARLENE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
70%
since 04/16/1979
BRAHAM, MARLENE (Individual) OFFICER since 04/16/1979
FIRST NATIONAL BANK OF PENNSYLVANIA (Organization) 5% OR GREATER MORTGAGE INTEREST since 12/19/2011
GODFREY, CYNTHIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 01/01/2002
GODFREY, CYNTHIA (Individual) MANAGING EMPLOYEE since 01/01/2002
GODFREY, CYNTHIA (Individual) OFFICER since 06/19/1991
MOODY, KIMBERLY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 01/01/2002
MOODY, KIMBERLY (Individual) MANAGING EMPLOYEE since 01/01/2002
MOODY, KIMBERLY (Individual) OFFICER since 01/01/1993

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