Hcc At White Horse Village - Newtown Square Nursing Home
General Information
UPDATEFederal Provider Number
395833
Provider Name
HCC AT WHITE HORSE VILLAGE
Provider Address
535 GRADYVILLE ROAD
NEWTOWN SQUARE, PA 19073
NEWTOWN SQUARE, PA 19073
Provider Phone Number
6105585044
Provider SSA County
290
Provider County Name
Delaware
Ownership Type
Non profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
53
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WHITE HORSE VILLAGE INC.
Date First Approved to Provide Medicare and Medicaid services
1990-07-30
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
3
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
2.47736
Reported LPN Staffing Hours per Resident per Day
0.71604
Reported RN Staffing Hours per Resident per Day
0.97358
Reported Licensed Staffing Hours per Resident per Day
1.68962
Reported Total Nurse Staffing Hours per Resident per Day
4.16698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21604
Expected CNA Staffing Hours per Resident per Day
2.21032
Expected LPN Staffing Hours per Resident per Day
0.58447
Expected RN Staffing Hours per Resident per Day
0.99750
Expected Total Nurse Staffing Hours per Resident per Day
3.79229
Adjusted CNA Staffing Hours per Resident per Day
2.75014
Adjusted LPN Staffing Hours per Resident per Day
1.01684
Adjusted RN Staffing Hours per Resident per Day
0.72928
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42916
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
188
Cycle 1 Standard Survey Health Date
2014-05-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
188
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
99
Cycle 2 Standard Health Survey Date
2013-02-22
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
2012-03-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
127.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
9458
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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