St Ignatius Nursing & Rehab Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395686
Provider Name
ST IGNATIUS NURSING & REHAB CENTER
Provider Address
4401 HAVERFORD AVENUE
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Provider Phone Number
(215) 349-8800
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
176
Number of Residents in Certified Beds
167
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAINT IGNATIUS NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1984-11-23
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
3
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
2.53084
Reported LPN Staffing Hours per Resident per Day
0.54192
Reported RN Staffing Hours per Resident per Day
1.05210
Reported Licensed Staffing Hours per Resident per Day
1.59401
Reported Total Nurse Staffing Hours per Resident per Day
4.12486
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11407
Expected CNA Staffing Hours per Resident per Day
2.81241
Expected LPN Staffing Hours per Resident per Day
0.76656
Expected RN Staffing Hours per Resident per Day
1.24278
Expected Total Nurse Staffing Hours per Resident per Day
4.82176
Adjusted CNA Staffing Hours per Resident per Day
2.20804
Adjusted LPN Staffing Hours per Resident per Day
0.58677
Adjusted RN Staffing Hours per Resident per Day
0.63256
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44831
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
2014-11-14
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
2014-05-07
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
2013-07-02
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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