Powerback Rehabilitation 3485 Davisville Road - Hatboro Nursing Home
General Information
UPDATEFederal Provider Number
396017
Provider Name
POWERBACK REHABILITATION 3485 DAVISVILLE ROAD
Provider Address
3485 DAVISVILLE ROAD
HATBORO, PA 19040
HATBORO, PA 19040
Provider Phone Number
(215) 830-0400
Provider SSA County
560
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
109
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
3485 DAVISVILLE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1997-01-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.45843
Reported LPN Staffing Hours per Resident per Day
0.95602
Reported RN Staffing Hours per Resident per Day
1.74639
Reported Licensed Staffing Hours per Resident per Day
2.70241
Reported Total Nurse Staffing Hours per Resident per Day
5.16084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39036
Expected CNA Staffing Hours per Resident per Day
2.55350
Expected LPN Staffing Hours per Resident per Day
0.73531
Expected RN Staffing Hours per Resident per Day
1.44893
Expected Total Nurse Staffing Hours per Resident per Day
4.73773
Adjusted CNA Staffing Hours per Resident per Day
2.36235
Adjusted LPN Staffing Hours per Resident per Day
1.07914
Adjusted RN Staffing Hours per Resident per Day
0.90060
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39089
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
2014-09-16
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
2013-10-01
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
2012-09-19
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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