St John Neumann Ctr For Rehab & Healthcare - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395182
Provider Name
ST JOHN NEUMANN CTR FOR REHAB & HEALTHCARE
Provider Address
10400 ROOSEVELT AVENUE
PHILADELPHIA, PA 19116
PHILADELPHIA, PA 19116
Provider Phone Number
(215) 698-5600
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
226
Number of Residents in Certified Beds
217
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
10400 ROOSEVELT OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1967-03-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34839
Reported LPN Staffing Hours per Resident per Day
0.66774
Reported RN Staffing Hours per Resident per Day
0.73871
Reported Licensed Staffing Hours per Resident per Day
1.40645
Reported Total Nurse Staffing Hours per Resident per Day
3.75484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05161
Expected CNA Staffing Hours per Resident per Day
2.68568
Expected LPN Staffing Hours per Resident per Day
0.76716
Expected RN Staffing Hours per Resident per Day
1.19164
Expected Total Nurse Staffing Hours per Resident per Day
4.64448
Adjusted CNA Staffing Hours per Resident per Day
2.14554
Adjusted LPN Staffing Hours per Resident per Day
0.72244
Adjusted RN Staffing Hours per Resident per Day
0.46320
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25879
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-11-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
2210
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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