Pleasant Valley Manor, Inc.

5709924172 · 4227 Manor Drive, Stroudsburg, PA 18360

Overview

Pleasant Valley Manor, Inc. is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #395491. The provider type is Medicare and Medicaid. The ownership type is government - county. The address is 4227 Manor Drive, Stroudsburg, PA 18360. The overall rating is 1.

Federal Provider Number 395491
Provider Name PLEASANT VALLEY MANOR, INC
Legal Business Name PLEASANT VALLEY MANOR, INC.
Address 4227 Manor Drive
Stroudsburg
PA 18360
County Monroe
Telephone 5709924172
Ownership Type Government - County
Provider Type Medicare and Medicaid
Date Approved 1980-04-09
Number of Certified Beds 174
Average Number of Residents per Day 94.5
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Long Stay Quality Measure Rating 3
Short Stay Quality Measure Rating 3
Staffing Rating 3
Registered Nurses Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.95121
Reported LPN Staffing Hours per Resident per Day 1.18069
Reported RN Staffing Hours per Resident per Day 0.64569
Reported Licensed Staffing Hours per Resident per Day 1.82638
Reported Total Nurse Staffing Hours per Resident per Day 4.77758
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05534
Expected CNA Staffing Hours per Resident per Day 2.30239
Expected LPN Staffing Hours per Resident per Day 0.79065
Expected RN Staffing Hours per Resident per Day 0.39069
Expected Total Nurse Staffing Hours per Resident per Day 3.48374
Adjusted CNA Staffing Hours per Resident per Day 2.63896
Adjusted LPN Staffing Hours per Resident per Day 1.10640
Adjusted RN Staffing Hours per Resident per Day 0.66140
Adjusted Total Nurse Staffing Hours per Resident per Day 4.38833
Rating Cycle 1 Standard Survey Health Date 2021-01-29
Rating Cycle 1 Total Number of Health Deficiencies 14
Rating Cycle 1 Number of Standard Health Deficiencies 13
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 108
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 108
Rating Cycle 2 Standard Health Survey Date 2019-09-20
Rating Cycle 2 Total Number of Health Deficiencies 29
Rating Cycle 2 Number of Standard Health Deficiencies 9
Rating Cycle 2 Number of Complavarchar Health Deficiencies 21
Rating Cycle 2 Health Deficiency Score 192
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 192
Rating Cycle 3 Standard Health Survey Date 2018-08-17
Rating Cycle 3 Total Number of Health Deficiencies 11
Rating Cycle 3 Number of Standard Health Deficiencies 7
Rating Cycle 3 Number of Complavarchar Health Deficiencies 4
Rating Cycle 3 Health Deficiency Score 84
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 132.000
Number of Facility Reported Incidents 5
Number of Substantiated Complavarchars 17
Number of Citations from Infection Control Inspections 13
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
PLEASANT VALLEY MANOR, INC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
DIRECTORLUTTON, DREWIndividualsince 01/05/2016
MANAGING EMPLOYEELUTTON, DREWIndividualsince 01/05/2016
MANAGING EMPLOYEEMARIANO, GLORIAIndividualsince 08/01/2018
MANAGING EMPLOYEERINKER, JEFFREYIndividualsince 10/04/2014
OFFICERMARIANO, GLORIAIndividualsince 08/01/2018
OPERATIONAL/MANAGERIAL CONTROLLUTTON, DREWIndividualsince 01/05/2016
OPERATIONAL/MANAGERIAL CONTROLRINKER, JEFFREYIndividualsince 10/04/2014

Location Information

Street Address 4227 MANOR DRIVE
City STROUDSBURG
State PA
Zip Code 18360

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.