Powerback Rehabilitation Phoenixville - Phoenixville Nursing Home
General Information
UPDATEFederal Provider Number
396126
Provider Name
POWERBACK REHABILITATION PHOENIXVILLE
Provider Address
3000 BALFOUR CIRCLE
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
Provider Phone Number
(484) 920-6200
Provider SSA County
210
Provider County Name
Chester
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
22
Number of Residents in Certified Beds
19
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
3000 BALFOUR CIRCLE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2009-12-09
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
1.80789
Reported LPN Staffing Hours per Resident per Day
0.15789
Reported RN Staffing Hours per Resident per Day
3.42895
Reported Licensed Staffing Hours per Resident per Day
3.58684
Reported Total Nurse Staffing Hours per Resident per Day
5.39473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42632
Expected CNA Staffing Hours per Resident per Day
2.58089
Expected LPN Staffing Hours per Resident per Day
0.70929
Expected RN Staffing Hours per Resident per Day
1.54654
Expected Total Nurse Staffing Hours per Resident per Day
4.83672
Adjusted CNA Staffing Hours per Resident per Day
1.71879
Adjusted LPN Staffing Hours per Resident per Day
0.18476
Adjusted RN Staffing Hours per Resident per Day
1.65667
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49594
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-08-01
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
2012-07-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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