Immaculatemarycenter For Rehabilitation&healthcare - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395338
Provider Name
IMMACULATEMARYCENTER FOR REHABILITATION&HEALTHCARE
Provider Address
2990 HOLME AVENUE
PHILADELPHIA, PA 19136
PHILADELPHIA, PA 19136
Provider Phone Number
(215) 335-2100
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
296
Number of Residents in Certified Beds
287
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
2990 HOLME OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45941
Reported LPN Staffing Hours per Resident per Day
0.50645
Reported RN Staffing Hours per Resident per Day
0.76934
Reported Licensed Staffing Hours per Resident per Day
1.27578
Reported Total Nurse Staffing Hours per Resident per Day
3.73520
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06463
Expected CNA Staffing Hours per Resident per Day
2.73678
Expected LPN Staffing Hours per Resident per Day
0.75967
Expected RN Staffing Hours per Resident per Day
1.14588
Expected Total Nurse Staffing Hours per Resident per Day
4.64233
Adjusted CNA Staffing Hours per Resident per Day
2.20502
Adjusted LPN Staffing Hours per Resident per Day
0.55334
Adjusted RN Staffing Hours per Resident per Day
0.50167
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24325
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
2014-08-14
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-08-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
2210
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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