Broomall Presbyterian Village - Broomall Nursing Home
General Information
UPDATEFederal Provider Number
395052
Provider Name
BROOMALL PRESBYTERIAN VILLAGE
Provider Address
146 MARPLE ROAD
BROOMALL, PA 19008
BROOMALL, PA 19008
Provider Phone Number
(610) 356-0100
Provider SSA County
290
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
146
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHILA. PRESBYTERY HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.59774
Reported LPN Staffing Hours per Resident per Day
0.80789
Reported RN Staffing Hours per Resident per Day
0.98872
Reported Licensed Staffing Hours per Resident per Day
1.79662
Reported Total Nurse Staffing Hours per Resident per Day
4.39435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14173
Expected CNA Staffing Hours per Resident per Day
2.66269
Expected LPN Staffing Hours per Resident per Day
0.66285
Expected RN Staffing Hours per Resident per Day
1.05977
Expected Total Nurse Staffing Hours per Resident per Day
4.38530
Adjusted CNA Staffing Hours per Resident per Day
2.39385
Adjusted LPN Staffing Hours per Resident per Day
1.01161
Adjusted RN Staffing Hours per Resident per Day
0.69711
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03921
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
3
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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