Powerback Rehabilitation 1700 Pine Street - Norristown Nursing Home
General Information
UPDATEFederal Provider Number
396009
Provider Name
POWERBACK REHABILITATION 1700 PINE STREET
Provider Address
1700 PINE STREET
NORRISTOWN, PA 19401
NORRISTOWN, PA 19401
Provider Phone Number
(610) 239-7100
Provider SSA County
560
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1700 PINE STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-10
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
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
2.14778
Reported LPN Staffing Hours per Resident per Day
0.62611
Reported RN Staffing Hours per Resident per Day
1.81056
Reported Licensed Staffing Hours per Resident per Day
2.43667
Reported Total Nurse Staffing Hours per Resident per Day
4.58445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23111
Expected CNA Staffing Hours per Resident per Day
2.57630
Expected LPN Staffing Hours per Resident per Day
0.82338
Expected RN Staffing Hours per Resident per Day
1.64271
Expected Total Nurse Staffing Hours per Resident per Day
5.04240
Adjusted CNA Staffing Hours per Resident per Day
2.04557
Adjusted LPN Staffing Hours per Resident per Day
0.63114
Adjusted RN Staffing Hours per Resident per Day
0.82355
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66482
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
2015-02-05
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2013-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
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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