Mountain Top Healthcare and Rehabilitation Center · Guardian Elder Care At Mountain Top I LLC

5704746377 · 185 South Mountain Boulevard, Mountain Top, PA 18707

Overview

Mountain Top Healthcare and Rehabilitation Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #395542. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 185 South Mountain Boulevard, Mountain Top, PA 18707. The overall rating is 3.

Federal Provider Number 395542
Provider Name MOUNTAIN TOP HEALTHCARE AND REHABILITATION CENTER
Legal Business Name GUARDIAN ELDER CARE AT MOUNTAIN TOP I LLC
Address 185 South Mountain Boulevard
Mountain Top
PA 18707
County Luzerne
Telephone 5704746377
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1982-10-01
Number of Certified Beds 106
Average Number of Residents per Day 75.1
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 3
Health Inspection Rating 2
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 5
Staffing Rating 3
Registered Nurses Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.70898
Reported LPN Staffing Hours per Resident per Day 0.93851
Reported RN Staffing Hours per Resident per Day 0.68836
Reported Licensed Staffing Hours per Resident per Day 1.62686
Reported Total Nurse Staffing Hours per Resident per Day 3.33584
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13773
Expected CNA Staffing Hours per Resident per Day 2.13807
Expected LPN Staffing Hours per Resident per Day 0.84150
Expected RN Staffing Hours per Resident per Day 0.44932
Expected Total Nurse Staffing Hours per Resident per Day 3.42889
Adjusted CNA Staffing Hours per Resident per Day 1.64561
Adjusted LPN Staffing Hours per Resident per Day 0.82632
Adjusted RN Staffing Hours per Resident per Day 0.61309
Adjusted Total Nurse Staffing Hours per Resident per Day 3.11307
Rating Cycle 1 Standard Survey Health Date 2020-11-06
Rating Cycle 1 Total Number of Health Deficiencies 15
Rating Cycle 1 Number of Standard Health Deficiencies 13
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 112
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 112
Rating Cycle 2 Standard Health Survey Date 2019-04-18
Rating Cycle 2 Total Number of Health Deficiencies 4
Rating Cycle 2 Number of Standard Health Deficiencies 3
Rating Cycle 2 Number of Complavarchar Health Deficiencies 1
Rating Cycle 2 Health Deficiency Score 16
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 16
Rating Cycle 3 Standard Health Survey Date 2018-05-11
Rating Cycle 3 Total Number of Health Deficiencies 12
Rating Cycle 3 Number of Standard Health Deficiencies 5
Rating Cycle 3 Number of Complavarchar Health Deficiencies 7
Rating Cycle 3 Health Deficiency Score 100
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 100
Total Weighted Health Survey Score 78.000
Number of Facility Reported Incidents 2
Number of Substantiated Complavarchars 3
Number of Citations from Infection Control Inspections 3
Number of Fines 1
Total Amount of Fines in Dollars 41360.00
Number of Payment Denials 0
Total Number of Penalties 1
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
MOUNTAIN TOP HEALTHCARE AND REHABILITATION CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTGUARDIAN HEALTHCARE OME CORP GROUP I, LLCOrganization100%since 12/17/2018
5% OR GREATER INDIRECT OWNERSHIP INTEREST2011 IRRV TR FOR NICHOLAS D VARISCHETTI NICHOLAS D VARISCHETTI TTEEOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2012
5% OR GREATER INDIRECT OWNERSHIP INTEREST2011 IRRV TR FOR PETER C VARISCHETTI PETER C VARISCHETTI TTEEOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2012
5% OR GREATER INDIRECT OWNERSHIP INTERESTGUARDIAN HEALTHCARE OME CORP 99% HOLDCO, INC.OrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTGUARDIAN HEALTHCARE OME CORP HOLDCO, INC.OrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTRAYMOND AND MICHELLE CALHOUN IRRV TR AGREEMENT FBO AMANDA R CALHOUNOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTRAYMOND AND MICHELLE CALHOUN IRRV TR AGREEMENT FBO JUSTIN M CALHOUNOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
DIRECTORCALHOUN, RAYMONDIndividualsince 07/10/2019
DIRECTORVARISCHETTI, NICHOLASIndividualsince 07/10/2019
DIRECTORVARISCHETTI, PETERIndividualsince 07/10/2019
MANAGING EMPLOYEEEPERESI, MICHAELIndividualsince 05/20/2019
OFFICERAKBAR-KHANZADEH, BARMAKIndividualsince 07/10/2019
OFFICERCALHOUN, RAYMONDIndividualsince 07/10/2019
OFFICEREPERESI, MICHAELIndividualsince 05/20/2019
OFFICERHERALD, MICHAELIndividualsince 07/10/2019
OFFICERVARISCHETTI, NICHOLASIndividualsince 07/10/2019
OFFICERVARISCHETTI, PETERIndividualsince 07/10/2019
OPERATIONAL/MANAGERIAL CONTROLGUARDIAN HEALTHCARE HOME OFFICE I, LLCOrganizationsince 01/01/2019

Location Information

Street Address 185 SOUTH MOUNTAIN BOULEVARD
City MOUNTAIN TOP
State PA
Zip Code 18707

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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.