Bala Nursing And Retirement Ce - Philadelphia Nursing Home

General Information

UPDATE
Federal Provider Number
396076
Provider Name
BALA NURSING AND RETIREMENT CE
Provider Address
4001 FORD ROAD
PHILADELPHIA, PA 19131
Provider Phone Number
2158775400
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
169
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BALA NURSING & RET CNTR LTD PTRSHP FORD RD CORP
Date First Approved to Provide Medicare and Medicaid services
2001-02-26
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77663
Reported LPN Staffing Hours per Resident per Day
0.74675
Reported RN Staffing Hours per Resident per Day
0.29438
Reported Licensed Staffing Hours per Resident per Day
1.04112
Reported Total Nurse Staffing Hours per Resident per Day
2.81776
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06775
Expected CNA Staffing Hours per Resident per Day
2.41096
Expected LPN Staffing Hours per Resident per Day
0.69191
Expected RN Staffing Hours per Resident per Day
1.24041
Expected Total Nurse Staffing Hours per Resident per Day
4.34328
Adjusted CNA Staffing Hours per Resident per Day
1.80812
Adjusted LPN Staffing Hours per Resident per Day
0.89579
Adjusted RN Staffing Hours per Resident per Day
0.17733
Adjusted Total Nurse Staffing Hours per Resident per Day
2.61510
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-27
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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