Naamans Creek Country Manor - Boothwyn Nursing Home
General Information
UPDATEFederal Provider Number
395952
Provider Name
NAAMANS CREEK COUNTRY MANOR
Provider Address
1194 NAAMANS CREEK ROAD
BOOTHWYN, PA 19061
BOOTHWYN, PA 19061
Provider Phone Number
(610) 558-7840
Provider SSA County
290
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NAAMANS CREEK CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1995-05-04
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.11325
Reported LPN Staffing Hours per Resident per Day
0.06988
Reported RN Staffing Hours per Resident per Day
1.76627
Reported Licensed Staffing Hours per Resident per Day
1.83614
Reported Total Nurse Staffing Hours per Resident per Day
3.94940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09398
Expected CNA Staffing Hours per Resident per Day
2.78685
Expected LPN Staffing Hours per Resident per Day
0.80401
Expected RN Staffing Hours per Resident per Day
1.31768
Expected Total Nurse Staffing Hours per Resident per Day
4.90854
Adjusted CNA Staffing Hours per Resident per Day
1.86063
Adjusted LPN Staffing Hours per Resident per Day
0.07214
Adjusted RN Staffing Hours per Resident per Day
1.00158
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24326
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.66700
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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