Provider Name: CALVARY FELLOWSHIP HOMES INC
Address: 502 ELIZABETH DRIVE, LANCASTER, PA 17601
Phone: (717) 393-0711
County: Lancaster (440)
Ownership Type: Non profit - Corporation
Certified Beds: 45
Average Residents Per Day: 44.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CALVARY FELLOWSHIP HOMES, INC.
First Approved Date: July 1, 1976
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.75032, LPN Staff Hours Per Day: 1.1735, RN Staff Hours Per Day: 0.9397, Licensed Staff Hours Per Day: 2.1132
Total Nurse Staff Hours Per Day, per resident: 4.86359
Weekend Nurse Staff Hours: 4.30751, Weekend RN Staff Hours: 0.7012
PT Staff Hours Per Day, per resident: 0.0332
Nurse Staff Turnover: 40.6, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2598, Case Mix LPN Hours Per Day: 0.7307, Case Mix RN Hours Per Day: 0.3420
Adjusted Nurse Aide Hours Per Day, per resident: 2.47940, Adjusted LPN Hours Per Day: 1.1851, Adjusted RN Hours Per Day: 1.0352
Total Adjusted Nurse Hours Per Day, per resident: 4.60000
Adjusted Weekend Nurse Hours Per Day, per resident: 4.07405
Health Survey Dates and Scores: Cycle 1: 2023-11-16 (Score: 0), Cycle 2: 2022-12-01 (Score: 8), Cycle 3: 2021-12-29 (Score: 4)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 502 ELIZABETH DRIVE,LANCASTER,PA,17601 (40.0624, -76.300)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-30
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-30
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-04
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-11
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-04
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-04
Type: Fire Safety, Tag: 0355, Version: New
Description: Properly select, install, inspect, or maintain portable fire extinguishes.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-04
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-04