Tucker House Nursing And Rehabilitation Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
395461
Provider Name
TUCKER HOUSE NURSING AND REHABILITATION CENTER
Provider Address
1001-11 WALLACE STREET
PHILADELPHIA, PA 19123
PHILADELPHIA, PA 19123
Provider Phone Number
2152351600
Provider SSA County
620
Provider County Name
Philadelphia
Ownership Type
For profit - Partnership
Number of Certified Beds
180
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TUCKER HOUSE NURSING AND REHABILITATION CENTER PA, LP
Date First Approved to Provide Medicare and Medicaid services
1980-02-05
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03793
Reported LPN Staffing Hours per Resident per Day
0.89713
Reported RN Staffing Hours per Resident per Day
0.62500
Reported Licensed Staffing Hours per Resident per Day
1.52213
Reported Total Nurse Staffing Hours per Resident per Day
3.56006
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06580
Expected CNA Staffing Hours per Resident per Day
2.58416
Expected LPN Staffing Hours per Resident per Day
0.70526
Expected RN Staffing Hours per Resident per Day
1.24509
Expected Total Nurse Staffing Hours per Resident per Day
4.53451
Adjusted CNA Staffing Hours per Resident per Day
1.93505
Adjusted LPN Staffing Hours per Resident per Day
1.05581
Adjusted RN Staffing Hours per Resident per Day
0.37507
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16467
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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