Willow Terrace - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
396129
Provider Name
WILLOW TERRACE
Provider Address
ONE PENN BOULEVARD
PHILADELPHIA, PA 19144
PHILADELPHIA, PA 19144
Provider Phone Number
(215) 951-8500
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
164
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RC OPERATOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-08-13
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.54238
Reported LPN Staffing Hours per Resident per Day
1.06951
Reported RN Staffing Hours per Resident per Day
0.87683
Reported Licensed Staffing Hours per Resident per Day
1.94634
Reported Total Nurse Staffing Hours per Resident per Day
4.48872
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08354
Expected CNA Staffing Hours per Resident per Day
2.34933
Expected LPN Staffing Hours per Resident per Day
0.70490
Expected RN Staffing Hours per Resident per Day
1.29022
Expected Total Nurse Staffing Hours per Resident per Day
4.34445
Adjusted CNA Staffing Hours per Resident per Day
2.65532
Adjusted LPN Staffing Hours per Resident per Day
1.25933
Adjusted RN Staffing Hours per Resident per Day
0.50779
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16476
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
2015-03-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
40
Cycle 3 Standard Health Survey Date
2013-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
20.00000
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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