Broomall Manor - Broomall Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
395202
Provider Name
BROOMALL MANOR
Provider Address
43 CHURCH LANE
BROOMALL, PA 19008
BROOMALL, PA 19008
Provider Phone Number
(610) 356-3003
Provider SSA County
290
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOMALL HEALTHCARE GROUP, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-05-24
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.79337
Reported LPN Staffing Hours per Resident per Day
0.80181
Reported RN Staffing Hours per Resident per Day
0.99458
Reported Licensed Staffing Hours per Resident per Day
1.79639
Reported Total Nurse Staffing Hours per Resident per Day
3.58976
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06205
Expected CNA Staffing Hours per Resident per Day
2.21513
Expected LPN Staffing Hours per Resident per Day
0.62025
Expected RN Staffing Hours per Resident per Day
1.22701
Expected Total Nurse Staffing Hours per Resident per Day
4.06239
Adjusted CNA Staffing Hours per Resident per Day
1.98651
Adjusted LPN Staffing Hours per Resident per Day
1.07296
Adjusted RN Staffing Hours per Resident per Day
0.60566
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56193
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
2014-03-18
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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