Philadelphia Protestant Home - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395961
Provider Name
PHILADELPHIA PROTESTANT HOME
Provider Address
700 E GILHAM ST
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
Provider Phone Number
2156978000
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
Non profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHILADELPHIA PROTESTANT HOME
Date First Approved to Provide Medicare and Medicaid services
1995-09-20
Continuing Care Retirement Community
Y
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
4
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
2.68984
Reported LPN Staffing Hours per Resident per Day
0.55528
Reported RN Staffing Hours per Resident per Day
1.10203
Reported Licensed Staffing Hours per Resident per Day
1.65732
Reported Total Nurse Staffing Hours per Resident per Day
4.34715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09309
Expected CNA Staffing Hours per Resident per Day
2.63025
Expected LPN Staffing Hours per Resident per Day
0.65512
Expected RN Staffing Hours per Resident per Day
1.16253
Expected Total Nurse Staffing Hours per Resident per Day
4.44790
Adjusted CNA Staffing Hours per Resident per Day
2.50929
Adjusted LPN Staffing Hours per Resident per Day
0.70351
Adjusted RN Staffing Hours per Resident per Day
0.70831
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93959
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
2014-12-23
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-21
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
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
2012-12-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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