Holy Family Home - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395637
Provider Name
HOLY FAMILY HOME
Provider Address
5300 CHESTER AVENUE
PHILADELPHIA, PA 19143
PHILADELPHIA, PA 19143
Provider Phone Number
(215) 729-5153
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLY FAMILY HOME
Date First Approved to Provide Medicare and Medicaid services
1984-03-01
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
4.22619
Reported LPN Staffing Hours per Resident per Day
0.53929
Reported RN Staffing Hours per Resident per Day
1.03810
Reported Licensed Staffing Hours per Resident per Day
1.57738
Reported Total Nurse Staffing Hours per Resident per Day
5.80358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13452
Expected CNA Staffing Hours per Resident per Day
2.58575
Expected LPN Staffing Hours per Resident per Day
0.57697
Expected RN Staffing Hours per Resident per Day
0.95417
Expected Total Nurse Staffing Hours per Resident per Day
4.11690
Adjusted CNA Staffing Hours per Resident per Day
4.01036
Adjusted LPN Staffing Hours per Resident per Day
0.77580
Adjusted RN Staffing Hours per Resident per Day
0.81292
Adjusted Total Nurse Staffing Hours per Resident per Day
5.68235
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
0
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
2012-09-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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