Preston Residence - West Grove Nursing Home

General Information

UPDATE
Federal Provider Number
396090
Provider Name
PRESTON RESIDENCE
Provider Address
200 SYCAMORE DRIVE
WEST GROVE, PA 19390
Provider Phone Number
6108696767
Provider SSA County
210
Provider County Name
Chester
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
JENNER'S POND INC.
Date First Approved to Provide Medicare and Medicaid services
2004-05-19
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.46379
Reported LPN Staffing Hours per Resident per Day
1.22069
Reported RN Staffing Hours per Resident per Day
1.02414
Reported Licensed Staffing Hours per Resident per Day
2.24483
Reported Total Nurse Staffing Hours per Resident per Day
4.70862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34310
Expected CNA Staffing Hours per Resident per Day
2.43200
Expected LPN Staffing Hours per Resident per Day
0.67779
Expected RN Staffing Hours per Resident per Day
1.36215
Expected Total Nurse Staffing Hours per Resident per Day
4.47194
Adjusted CNA Staffing Hours per Resident per Day
2.48578
Adjusted LPN Staffing Hours per Resident per Day
1.49482
Adjusted RN Staffing Hours per Resident per Day
0.56179
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24424
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.66700
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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