Bellingham Park Lane - West Chester Nursing Home
General Information
UPDATEFederal Provider Number
396082
Provider Name
BELLINGHAM PARK LANE
Provider Address
1615 EAST BOOT ROAD EAST GOSHEN
WEST CHESTER, PA 19380
WEST CHESTER, PA 19380
Provider Phone Number
(484) 653-4400
Provider SSA County
210
Provider County Name
Chester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
46
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SL BELLINGHAM SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2002-11-27
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.50326
Reported LPN Staffing Hours per Resident per Day
1.03152
Reported RN Staffing Hours per Resident per Day
1.02500
Reported Licensed Staffing Hours per Resident per Day
2.05652
Reported Total Nurse Staffing Hours per Resident per Day
4.55978
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41196
Expected CNA Staffing Hours per Resident per Day
2.38229
Expected LPN Staffing Hours per Resident per Day
0.68571
Expected RN Staffing Hours per Resident per Day
1.40529
Expected Total Nurse Staffing Hours per Resident per Day
4.47329
Adjusted CNA Staffing Hours per Resident per Day
2.57829
Adjusted LPN Staffing Hours per Resident per Day
1.24859
Adjusted RN Staffing Hours per Resident per Day
0.54500
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10884
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
28
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
24
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
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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