Maplewood Nursing And Rehab Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395865
Provider Name
MAPLEWOOD NURSING AND REHAB CENTER
Provider Address
125 W SCHOOLHOUSE LANE
PHILADELPHIA, PA 19144
PHILADELPHIA, PA 19144
Provider Phone Number
2158448806
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Partnership
Number of Certified Beds
180
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLEWOOD NURSING AND REHABILITATION CENTER PA LP
Date First Approved to Provide Medicare and Medicaid services
1991-10-08
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.34171
Reported LPN Staffing Hours per Resident per Day
0.85000
Reported RN Staffing Hours per Resident per Day
0.55257
Reported Licensed Staffing Hours per Resident per Day
1.40257
Reported Total Nurse Staffing Hours per Resident per Day
3.74428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06543
Expected CNA Staffing Hours per Resident per Day
2.42748
Expected LPN Staffing Hours per Resident per Day
0.67507
Expected RN Staffing Hours per Resident per Day
1.27068
Expected Total Nurse Staffing Hours per Resident per Day
4.37323
Adjusted CNA Staffing Hours per Resident per Day
2.36700
Adjusted LPN Staffing Hours per Resident per Day
1.04508
Adjusted RN Staffing Hours per Resident per Day
0.32493
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45118
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-08
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
1
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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