Statesman Health And Rehab Cen - Levittown Nursing Home
General Information
UPDATEFederal Provider Number
395259
Provider Name
STATESMAN HEALTH AND REHAB CEN
Provider Address
2629 TRENTON ROAD
LEVITTOWN, PA 19056
LEVITTOWN, PA 19056
Provider Phone Number
2159437777
Provider SSA County
140
Provider County Name
Bucks
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN HEALTH FACILITIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.07474
Reported LPN Staffing Hours per Resident per Day
1.11392
Reported RN Staffing Hours per Resident per Day
0.76495
Reported Licensed Staffing Hours per Resident per Day
1.87887
Reported Total Nurse Staffing Hours per Resident per Day
3.95361
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14072
Expected CNA Staffing Hours per Resident per Day
2.66509
Expected LPN Staffing Hours per Resident per Day
0.83724
Expected RN Staffing Hours per Resident per Day
1.46108
Expected Total Nurse Staffing Hours per Resident per Day
4.96342
Adjusted CNA Staffing Hours per Resident per Day
1.91018
Adjusted LPN Staffing Hours per Resident per Day
1.10428
Adjusted RN Staffing Hours per Resident per Day
0.39120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21081
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-10
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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