Conner-williams Nursing Home - Ridley Park Nursing Home
General Information
UPDATEFederal Provider Number
396099
Provider Name
CONNER-WILLIAMS NURSING HOME
Provider Address
105 MORTON AVENUE
RIDLEY PARK, PA 19078
RIDLEY PARK, PA 19078
Provider Phone Number
6105211331
Provider SSA County
290
Provider County Name
Delaware
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
D. P. DODDS ASSOCIATES, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-04-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22895
Reported LPN Staffing Hours per Resident per Day
0.71711
Reported RN Staffing Hours per Resident per Day
0.76842
Reported Licensed Staffing Hours per Resident per Day
1.48553
Reported Total Nurse Staffing Hours per Resident per Day
3.71448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11316
Expected CNA Staffing Hours per Resident per Day
2.55833
Expected LPN Staffing Hours per Resident per Day
0.61946
Expected RN Staffing Hours per Resident per Day
0.93014
Expected Total Nurse Staffing Hours per Resident per Day
4.10794
Adjusted CNA Staffing Hours per Resident per Day
2.13779
Adjusted LPN Staffing Hours per Resident per Day
0.96083
Adjusted RN Staffing Hours per Resident per Day
0.61728
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64482
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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