Care Pavilion Nursing And Rehabilitation Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395893
Provider Name
CARE PAVILION NURSING AND REHABILITATION CENTER
Provider Address
6212 WALNUT STREET
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
Provider Phone Number
(215) 476-6264
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
396
Number of Residents in Certified Beds
382
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE PAVILION NURSING AND REHABILITATION CENTER PA LP
Date First Approved to Provide Medicare and Medicaid services
1993-05-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.45105
Reported LPN Staffing Hours per Resident per Day
0.81937
Reported RN Staffing Hours per Resident per Day
0.75209
Reported Licensed Staffing Hours per Resident per Day
1.57147
Reported Total Nurse Staffing Hours per Resident per Day
4.02251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10746
Expected CNA Staffing Hours per Resident per Day
2.59912
Expected LPN Staffing Hours per Resident per Day
0.71366
Expected RN Staffing Hours per Resident per Day
1.17988
Expected Total Nurse Staffing Hours per Resident per Day
4.49266
Adjusted CNA Staffing Hours per Resident per Day
2.31392
Adjusted LPN Staffing Hours per Resident per Day
0.95294
Adjusted RN Staffing Hours per Resident per Day
0.47629
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60907
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
24
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
24
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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