Forwood Manor - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
85036
Provider Name
FORWOOD MANOR
Provider Address
1912 MARSH ROAD
WILMINGTON, DE 19810
WILMINGTON, DE 19810
Provider Phone Number
(302) 529-1601
Provider SSA County
10
Provider County Name
New Castle
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FS TENANT POOL II TRUST
Date First Approved to Provide Medicare and Medicaid services
1988-12-20
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46742
Reported LPN Staffing Hours per Resident per Day
0.82879
Reported RN Staffing Hours per Resident per Day
0.47652
Reported Licensed Staffing Hours per Resident per Day
1.30530
Reported Total Nurse Staffing Hours per Resident per Day
3.77273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10152
Expected CNA Staffing Hours per Resident per Day
2.48135
Expected LPN Staffing Hours per Resident per Day
0.66369
Expected RN Staffing Hours per Resident per Day
1.25407
Expected Total Nurse Staffing Hours per Resident per Day
4.39911
Adjusted CNA Staffing Hours per Resident per Day
2.43992
Adjusted LPN Staffing Hours per Resident per Day
1.03648
Adjusted RN Staffing Hours per Resident per Day
0.28392
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45695
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
29
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
94
Cycle 3 Total Health Score
282
Total Weighted Health Survey Score
137.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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