Countryside Christian Community
Countryside Christian Community Information
| Facility Name | Countryside Christian Community |
| Location | 200 Bellann Court, Annville, PA 17003 |
| County (SSA Code) | Lebanon (460) |
| Phone Number | 717-867-4636 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 33 |
| Average Number of Residents | 15.4 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRYSIDE CHRISTIAN COMMUNITY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1984-11-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.67718 |
| Reported LPN Staffing Hours per Resident per Day | 0.57689 |
| Reported RN Staffing - Hours per Resident per Day | 1.54372 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.12061 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.79779 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.11583 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19805 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69814 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30554 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20172 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.7775 |
| Total Weighted Health Survey Score for three cycles | 2.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-21 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-09 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-24 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |