Brookside Healthcare & Rehabilitation Center - Roslyn Nursing Home
General Information
UPDATEFederal Provider Number
395227
Provider Name
BROOKSIDE HEALTHCARE & REHABILITATION CENTER
Provider Address
2630 WOODLAND ROAD
ROSLYN, PA 19001
ROSLYN, PA 19001
Provider Phone Number
(215) 884-6776
Provider SSA County
560
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKSIDE HEALTHCARE & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1970-05-18
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41806
Reported LPN Staffing Hours per Resident per Day
0.79352
Reported RN Staffing Hours per Resident per Day
0.73519
Reported Licensed Staffing Hours per Resident per Day
1.52870
Reported Total Nurse Staffing Hours per Resident per Day
3.94677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15694
Expected CNA Staffing Hours per Resident per Day
2.67728
Expected LPN Staffing Hours per Resident per Day
0.80204
Expected RN Staffing Hours per Resident per Day
1.40904
Expected Total Nurse Staffing Hours per Resident per Day
4.88837
Adjusted CNA Staffing Hours per Resident per Day
2.21613
Adjusted LPN Staffing Hours per Resident per Day
0.82118
Adjusted RN Staffing Hours per Resident per Day
0.38986
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25447
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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