Powerback Rehabilitation 1526 Lombard Street - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395485
Provider Name
POWERBACK REHABILITATION 1526 LOMBARD STREET
Provider Address
1526 LOMBARD STREET
PHILADELPHIA, PA 19146
PHILADELPHIA, PA 19146
Provider Phone Number
2155465960
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Partnership
Number of Certified Beds
150
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1526 LOMBARD STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.21417
Reported LPN Staffing Hours per Resident per Day
0.39646
Reported RN Staffing Hours per Resident per Day
2.25472
Reported Licensed Staffing Hours per Resident per Day
2.65118
Reported Total Nurse Staffing Hours per Resident per Day
4.86535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32008
Expected CNA Staffing Hours per Resident per Day
2.62693
Expected LPN Staffing Hours per Resident per Day
0.70126
Expected RN Staffing Hours per Resident per Day
1.31889
Expected Total Nurse Staffing Hours per Resident per Day
4.64708
Adjusted CNA Staffing Hours per Resident per Day
2.06816
Adjusted LPN Staffing Hours per Resident per Day
0.46924
Adjusted RN Staffing Hours per Resident per Day
1.27738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22023
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-07
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
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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