Philadelphia Nursing Home - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395478
Provider Name
PHILADELPHIA NURSING HOME
Provider Address
GIRARD AND CORINTHIAN AVE
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
Provider Phone Number
2156850800
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
Government - County
Number of Certified Beds
402
Number of Residents in Certified Beds
389
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF PHILADELPHIA
Date First Approved to Provide Medicare and Medicaid services
1980-03-20
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
2
QM Rating Footnote
Staffing Rating
3
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
2.42288
Reported LPN Staffing Hours per Resident per Day
0.39974
Reported RN Staffing Hours per Resident per Day
0.87545
Reported Licensed Staffing Hours per Resident per Day
1.27519
Reported Total Nurse Staffing Hours per Resident per Day
3.69807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02879
Expected CNA Staffing Hours per Resident per Day
2.30717
Expected LPN Staffing Hours per Resident per Day
0.71832
Expected RN Staffing Hours per Resident per Day
1.07416
Expected Total Nurse Staffing Hours per Resident per Day
4.09964
Adjusted CNA Staffing Hours per Resident per Day
2.57676
Adjusted LPN Staffing Hours per Resident per Day
0.46189
Adjusted RN Staffing Hours per Resident per Day
0.60897
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63606
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-08
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
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.00000
Number of Facility Reported Incidents
1
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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