Ivy Hill Rehabilitation And Nursing Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395525
Provider Name
IVY HILL REHABILITATION AND NURSING CENTER
Provider Address
1401 IVY HILL ROAD
PHILADELPHIA, PA 19150
PHILADELPHIA, PA 19150
Provider Phone Number
2152335605
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IVY HILL SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1982-04-28
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.02786
Reported LPN Staffing Hours per Resident per Day
0.74393
Reported RN Staffing Hours per Resident per Day
0.57286
Reported Licensed Staffing Hours per Resident per Day
1.31679
Reported Total Nurse Staffing Hours per Resident per Day
3.34465
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15821
Expected CNA Staffing Hours per Resident per Day
2.51821
Expected LPN Staffing Hours per Resident per Day
0.72785
Expected RN Staffing Hours per Resident per Day
1.28732
Expected Total Nurse Staffing Hours per Resident per Day
4.53338
Adjusted CNA Staffing Hours per Resident per Day
1.97591
Adjusted LPN Staffing Hours per Resident per Day
0.84834
Adjusted RN Staffing Hours per Resident per Day
0.33251
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97393
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-13
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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