Pennypack Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395135
Provider Name
PENNYPACK CENTER
Provider Address
8015 LAWNDALE AVENUE
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
Provider Phone Number
(215) 725-2525
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
8015 LAWNDALE STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.15600
Reported LPN Staffing Hours per Resident per Day
0.59000
Reported RN Staffing Hours per Resident per Day
1.68200
Reported Licensed Staffing Hours per Resident per Day
2.27200
Reported Total Nurse Staffing Hours per Resident per Day
4.42800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15000
Expected CNA Staffing Hours per Resident per Day
2.46959
Expected LPN Staffing Hours per Resident per Day
0.70108
Expected RN Staffing Hours per Resident per Day
1.34395
Expected Total Nurse Staffing Hours per Resident per Day
4.51462
Adjusted CNA Staffing Hours per Resident per Day
2.14213
Adjusted LPN Staffing Hours per Resident per Day
0.69850
Adjusted RN Staffing Hours per Resident per Day
0.93515
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95356
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
2014-11-06
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
2013-12-04
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
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
2013-01-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.00000
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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