Cliveden Nursing And Rehabilitation Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395852
Provider Name
CLIVEDEN NURSING AND REHABILITATION CENTER
Provider Address
6400 GREENE STREET
PHILADELPHIA, PA 19119
PHILADELPHIA, PA 19119
Provider Phone Number
(215) 844-6400
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
180
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLIVEDEN NURSING AND REHABILITATION CENTER PA, LP
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.39574
Reported LPN Staffing Hours per Resident per Day
0.79773
Reported RN Staffing Hours per Resident per Day
0.70085
Reported Licensed Staffing Hours per Resident per Day
1.49858
Reported Total Nurse Staffing Hours per Resident per Day
3.89432
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10313
Expected CNA Staffing Hours per Resident per Day
2.44786
Expected LPN Staffing Hours per Resident per Day
0.69272
Expected RN Staffing Hours per Resident per Day
1.27504
Expected Total Nurse Staffing Hours per Resident per Day
4.41562
Adjusted CNA Staffing Hours per Resident per Day
2.40146
Adjusted LPN Staffing Hours per Resident per Day
0.95582
Adjusted RN Staffing Hours per Resident per Day
0.41071
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55502
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-05
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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