Cathedral Village - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395467
Provider Name
CATHEDRAL VILLAGE
Provider Address
600 EAST CATHEDRAL ROAD
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
Provider Phone Number
2154871300
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
Non profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-03-28
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94554
Reported LPN Staffing Hours per Resident per Day
0.40891
Reported RN Staffing Hours per Resident per Day
1.11782
Reported Licensed Staffing Hours per Resident per Day
1.52673
Reported Total Nurse Staffing Hours per Resident per Day
3.47227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11337
Expected CNA Staffing Hours per Resident per Day
2.45085
Expected LPN Staffing Hours per Resident per Day
0.58357
Expected RN Staffing Hours per Resident per Day
0.88390
Expected Total Nurse Staffing Hours per Resident per Day
3.91833
Adjusted CNA Staffing Hours per Resident per Day
1.94780
Adjusted LPN Staffing Hours per Resident per Day
0.58158
Adjusted RN Staffing Hours per Resident per Day
0.94494
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57203
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-07-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2014-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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