St Monica Center For Rehabilitation & Healthcare - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395558
Provider Name
ST MONICA CENTER FOR REHABILITATION & HEALTHCARE
Provider Address
2509 SOUTH FOURTH STREET
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
Provider Phone Number
2152711080
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST MONICA MANOR
Date First Approved to Provide Medicare and Medicaid services
1982-11-29
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
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
2.08352
Reported LPN Staffing Hours per Resident per Day
0.80568
Reported RN Staffing Hours per Resident per Day
0.71136
Reported Licensed Staffing Hours per Resident per Day
1.51705
Reported Total Nurse Staffing Hours per Resident per Day
3.60056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15426
Expected CNA Staffing Hours per Resident per Day
2.57766
Expected LPN Staffing Hours per Resident per Day
0.73906
Expected RN Staffing Hours per Resident per Day
1.31708
Expected Total Nurse Staffing Hours per Resident per Day
4.63380
Adjusted CNA Staffing Hours per Resident per Day
1.98332
Adjusted LPN Staffing Hours per Resident per Day
0.90482
Adjusted RN Staffing Hours per Resident per Day
0.40357
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13209
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2014-01-24
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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