Willowbrooke Court-granite - Media Nursing Home
General Information
UPDATEFederal Provider Number
395736
Provider Name
WILLOWBROOKE COURT-GRANITE
Provider Address
1343 WEST BALTIMORE PIKE
MEDIA, PA 19063
MEDIA, PA 19063
Provider Phone Number
(610) 358-0510
Provider SSA County
290
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
70
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ACTS RETIREMENT-LIFE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
1987-07-17
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51786
Reported LPN Staffing Hours per Resident per Day
0.99071
Reported RN Staffing Hours per Resident per Day
0.79643
Reported Licensed Staffing Hours per Resident per Day
1.78714
Reported Total Nurse Staffing Hours per Resident per Day
4.30500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13500
Expected CNA Staffing Hours per Resident per Day
2.31986
Expected LPN Staffing Hours per Resident per Day
0.55173
Expected RN Staffing Hours per Resident per Day
0.77875
Expected Total Nurse Staffing Hours per Resident per Day
3.65035
Adjusted CNA Staffing Hours per Resident per Day
2.66312
Adjusted LPN Staffing Hours per Resident per Day
1.49037
Adjusted RN Staffing Hours per Resident per Day
0.76416
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75380
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
12
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
253
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
253
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
97.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
47938
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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