Pennsburg Manor - Pennsburg Nursing Home
General Information
UPDATEFederal Provider Number
395555
Provider Name
PENNSBURG MANOR
Provider Address
530 MACOBY STREET
PENNSBURG, PA 18073
PENNSBURG, PA 18073
Provider Phone Number
2156798076
Provider SSA County
560
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
530 MACOBY STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1982-11-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96624
Reported LPN Staffing Hours per Resident per Day
0.45299
Reported RN Staffing Hours per Resident per Day
0.99274
Reported Licensed Staffing Hours per Resident per Day
1.44573
Reported Total Nurse Staffing Hours per Resident per Day
3.41197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04872
Expected CNA Staffing Hours per Resident per Day
2.61141
Expected LPN Staffing Hours per Resident per Day
0.71740
Expected RN Staffing Hours per Resident per Day
1.28403
Expected Total Nurse Staffing Hours per Resident per Day
4.61284
Adjusted CNA Staffing Hours per Resident per Day
1.84749
Adjusted LPN Staffing Hours per Resident per Day
0.52409
Adjusted RN Staffing Hours per Resident per Day
0.57769
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98153
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
2014-10-10
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
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
2013-11-01
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
8.66700
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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