Providence Point Healthcare Residence
200 Adams Ave, Pittsburgh, PA 15243


Providence Point Healthcare Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 396124. The address is 200 Adams Ave, Pittsburgh, PA 15243. The zip code is 15243. The phone number is 4124893560.


Providence Point Healthcare Residence · 200 Adams Ave, Pittsburgh, PA 15243

Federal Provider Number 396124
Provider Name PROVIDENCE POINT HEALTHCARE RESIDENCE
Address 200 ADAMS AVE
PITTSBURGH, PA 15243
Phone Number 4124893560
SSA County Code 10
County Name Allegheny
Ownership Type Non profit - Corporation
Certified Beds 63
Certified Beds Residents 51
Provider Type Medicare
Resides in Hospital false
Legal Business Name BAPTIST HOMES SOCIETY
Date First Approved to Provide Medicare Medicaid Services 11/10/2009
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 3
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.88235
Reported LPN Staffing Hours per Resident per Day 1.22255
Reported RN Staffing Hours per Resident per Day 1.6598
Reported Licensed Staffing Hours per Resident per Day 2.88235
Reported Total Nurse Staffing Hours per Resident per Day 5.7647
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15
Expected CNA Staffing Hours per Resident per Day 2.48889
Expected LPN Staffing Hours per Resident per Day 0.62265
Expected RN Staffing Hours per Resident per Day 1.09804
Expected Total Nurse Staffing Hours per Resident per Day 4.20958
Adjusted CNA Staffing Hours per Resident per Day 2.8416
Adjusted LPN Staffing Hours per Resident per Day 1.62967
Adjusted RN Staffing Hours per Resident per Day 1.12947
Adjusted Total Nurse Staffing Hours per Resident per Day 5.52001
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 05/17/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
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 8
Cycle 2 Standard Health Survey Date 07/07/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 06/19/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 15.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Providence Point Healthcare Residence

Owner Name Role Association Date
ALLISON, ALVIN (Individual) OFFICER since 01/01/2015
ANGELELLI, JOSEPH (Individual) DIRECTOR since 01/01/2015
BUTLER, LAURIE (Individual) DIRECTOR since 01/01/2015
CARUSO, RICHARD (Individual) DIRECTOR since 01/01/2015
FAETH, VALERIE (Individual) OFFICER since 01/01/2015
GONGAWARE, BRIAN (Individual) DIRECTOR since 01/01/2015
GRUNEBERG, TERRY (Individual) DIRECTOR since 01/01/2015
JACKLEY, LARRY (Individual) OFFICER since 01/01/2015
PETRICH, FRANK (Individual) DIRECTOR since 01/01/2015
PRESUTTI, WILLIAM (Individual) DIRECTOR since 01/01/2015
SILKROSKI, SHARON (Individual) MANAGING EMPLOYEE since 01/01/2015
STINNER, ERIN (Individual) DIRECTOR since 01/01/2015
STOUT, THOMAS (Individual) DIRECTOR since 01/01/2015
TINDALL, MARSHALL (Individual) DIRECTOR since 01/01/2015
WENZEL, JAN (Individual) OFFICER since 01/01/2015

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