Chapel Manor - Philadelphia Nursing Home

General Information

UPDATE
Federal Provider Number
395449
Provider Name
CHAPEL MANOR
Provider Address
1104 WELSH ROAD
PHILADELPHIA, PA 19115
Provider Phone Number
2156769191
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Partnership
Number of Certified Beds
238
Number of Residents in Certified Beds
231
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1104 WELSH ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1979-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.93658
Reported LPN Staffing Hours per Resident per Day
0.34481
Reported RN Staffing Hours per Resident per Day
1.14026
Reported Licensed Staffing Hours per Resident per Day
1.48506
Reported Total Nurse Staffing Hours per Resident per Day
3.42165
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06299
Expected CNA Staffing Hours per Resident per Day
2.50919
Expected LPN Staffing Hours per Resident per Day
0.71586
Expected RN Staffing Hours per Resident per Day
1.20412
Expected Total Nurse Staffing Hours per Resident per Day
4.42918
Adjusted CNA Staffing Hours per Resident per Day
1.89375
Adjusted LPN Staffing Hours per Resident per Day
0.39979
Adjusted RN Staffing Hours per Resident per Day
0.70757
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11397
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
2014-07-01
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
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2012-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
1
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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