Church of God Home, Inc
801 N. Hanover Street, Carlisle, PA 17013


Church of God Home, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395784. The address is 801 N. Hanover Street, Carlisle, PA 17013. The zip code is 17013. The phone number is 7172495322.


Church of God Home, Inc · 801 N. Hanover Street, Carlisle, PA 17013

Federal Provider Number 395784
Provider Name CHURCH OF GOD HOME, INC
Address 801 N. HANOVER STREET
CARLISLE, PA 17013
Phone Number 7172495322
SSA County Code 270
County Name Cumberland
Ownership Type Non profit - Church related
Certified Beds 109
Certified Beds Residents 103
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CHURCH OF GOD HOME INC
Date First Approved to Provide Medicare Medicaid Services 04/01/1989
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.35728
Reported LPN Staffing Hours per Resident per Day 0.63447
Reported RN Staffing Hours per Resident per Day 0.71893
Reported Licensed Staffing Hours per Resident per Day 1.3534
Reported Total Nurse Staffing Hours per Resident per Day 3.71068
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04369
Expected CNA Staffing Hours per Resident per Day 2.71247
Expected LPN Staffing Hours per Resident per Day 0.65456
Expected RN Staffing Hours per Resident per Day 1.02395
Expected Total Nurse Staffing Hours per Resident per Day 4.39099
Adjusted CNA Staffing Hours per Resident per Day 2.13239
Adjusted LPN Staffing Hours per Resident per Day 0.80452
Adjusted RN Staffing Hours per Resident per Day 0.52462
Adjusted Total Nurse Staffing Hours per Resident per Day 3.40638
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 07/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 08/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 09/25/2014
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 26
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Church of God Home, Inc

Owner Name Role Association Date
ARVA, HENRY (Individual) DIRECTOR since 05/01/2008
BOSWELL, HARRY (Individual) DIRECTOR since 05/01/2003
CASEY, RYAN (Individual) MANAGING EMPLOYEE since 06/02/2014
ENGLE, DAVID (Individual) DIRECTOR since 01/01/2014
FODOR, ROBERT (Individual) MANAGING EMPLOYEE since 04/16/2014
HILL, BRUCE (Individual) DIRECTOR since 01/01/2014
KEARNS, RONALD (Individual) DIRECTOR since 05/01/2004
MINNICH, STEVEN (Individual) DIRECTOR since 05/01/2008
NEW DAWN CHRISTIAN COMMUNITY SERVICES INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
REITER, STEVEN (Individual) DIRECTOR since 05/01/2008
REITER, STEVEN (Individual) MANAGING EMPLOYEE since 05/01/2008
RICHARDSON, KEVIN (Individual) DIRECTOR since 01/01/2014
STYER, DONALD (Individual) DIRECTOR since 05/01/2008
WADE, LOIS (Individual) DIRECTOR since 01/01/2014

street_number: 801
route: North Hanover Street (N Hanover St)
locality, political: Carlisle
admin_level_3, political: North Middleton Township
admin_level_2, political: Cumberland County
admin_level_1, political: Pennsylvania (PA)
country, political: United States (US)
postal_code: 17013
types : premise
latitude: 40.2106872
longitude: -77.1799407
latlng: (40.2106872, -77.1799407)


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