Delaware Valley Veteran's Home - Philadelphia Nursing Home

General Information

UPDATE
Federal Provider Number
39A436
Provider Name
DELAWARE VALLEY VETERAN'S HOME
Provider Address
2701 SOUTHAMPTON RD
PHILADELPHIA, PA 19154
Provider Phone Number
2159650301
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
Government - State
Number of Certified Beds
130
Number of Residents in Certified Beds
130
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.34077
Reported LPN Staffing Hours per Resident per Day
1.36269
Reported RN Staffing Hours per Resident per Day
0.83500
Reported Licensed Staffing Hours per Resident per Day
2.19769
Reported Total Nurse Staffing Hours per Resident per Day
5.53846
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04385
Expected CNA Staffing Hours per Resident per Day
2.50537
Expected LPN Staffing Hours per Resident per Day
0.56575
Expected RN Staffing Hours per Resident per Day
0.84044
Expected Total Nurse Staffing Hours per Resident per Day
3.91157
Adjusted CNA Staffing Hours per Resident per Day
3.27187
Adjusted LPN Staffing Hours per Resident per Day
1.99916
Adjusted RN Staffing Hours per Resident per Day
0.74236
Adjusted Total Nurse Staffing Hours per Resident per Day
5.70742
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-19
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
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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