Holy Family Residence
2500 Adams Avenue, Scranton, PA 18509


Holy Family Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395625. The address is 2500 Adams Avenue, Scranton, PA 18509. The zip code is 18509. The phone number is 5703434065.


Holy Family Residence · 2500 Adams Avenue, Scranton, PA 18509

Federal Provider Number 395625
Provider Name HOLY FAMILY RESIDENCE
Address 2500 ADAMS AVENUE
SCRANTON, PA 18509
Phone Number 5703434065
SSA County Code 420
County Name Lackawanna
Ownership Type Non profit - Corporation
Certified Beds 54
Certified Beds Residents 54
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1984
Continuing Care Retirement Community false
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 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.66852
Reported LPN Staffing Hours per Resident per Day 0.56389
Reported RN Staffing Hours per Resident per Day 0.84444
Reported Licensed Staffing Hours per Resident per Day 1.40833
Reported Total Nurse Staffing Hours per Resident per Day 4.07685
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04259
Expected CNA Staffing Hours per Resident per Day 2.48311
Expected LPN Staffing Hours per Resident per Day 0.56323
Expected RN Staffing Hours per Resident per Day 0.85338
Expected Total Nurse Staffing Hours per Resident per Day 3.89971
Adjusted CNA Staffing Hours per Resident per Day 2.63692
Adjusted LPN Staffing Hours per Resident per Day 0.83098
Adjusted RN Staffing Hours per Resident per Day 0.73937
Adjusted Total Nurse Staffing Hours per Resident per Day 4.214
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 06/27/2017
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 06/24/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 25.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Holy Family Residence

Owner Name Role Association Date
AYLWARD, BARBARA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2016
WOO CHING, GUSTAVA (Individual) DIRECTOR since 12/05/2015

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