Devon Manor - Devon Nursing Home
General Information
UPDATEFederal Provider Number
395394
Provider Name
DEVON MANOR
Provider Address
235 LANCASTER AVENUE
DEVON, PA 19333
DEVON, PA 19333
Provider Phone Number
(610) 688-8080
Provider SSA County
210
Provider County Name
Chester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
38
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
DEVON MANOR-DEVON PA LLC
Date First Approved to Provide Medicare and Medicaid services
1979-03-08
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.90921
Reported LPN Staffing Hours per Resident per Day
1.71316
Reported RN Staffing Hours per Resident per Day
3.12895
Reported Licensed Staffing Hours per Resident per Day
4.84211
Reported Total Nurse Staffing Hours per Resident per Day
7.75132
Reported Physical Therapist Staffing Hours per Resident Per Day
1.54868
Expected CNA Staffing Hours per Resident per Day
2.45288
Expected LPN Staffing Hours per Resident per Day
0.80911
Expected RN Staffing Hours per Resident per Day
1.68126
Expected Total Nurse Staffing Hours per Resident per Day
4.94325
Adjusted CNA Staffing Hours per Resident per Day
2.91019
Adjusted LPN Staffing Hours per Resident per Day
1.75738
Adjusted RN Staffing Hours per Resident per Day
1.39059
Adjusted Total Nurse Staffing Hours per Resident per Day
6.32070
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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