Overall Rating
Address
10400 Roosevelt Avenue
Philadelphia, PA 19116
Contact
2156985600
Certification Date
1967-03-07
CMS Certification Number
395182
Ownership Type
For profit - Corporation
Number of Certified Beds
226
Average Number of Residents per Day
209.6
Provider Type
Medicare and Medicaid
Legal Business Name
10400 ROOSEVELT OPERATING LLC
Affiliated Entity Name
CENTER MANAGEMENT GROUP
Affiliated Entity ID
619
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.05506
Reported LPN Staffing Hours per Resident per Day
0.85317
Reported RN Staffing Hours per Resident per Day
0.60132
Reported Total Nurse Staffing Hours per Resident per Day
3.50956
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.04980
Registered Nurse Hours per Resident per Day on the Weekend
0.43231
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08095
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
161.000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
28
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-05-18
Total Number of Health Deficiencies
10
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
10
Health Deficiency Score
48
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
48
Standard Health Survey Date
2022-12-01
Total Number of Health Deficiencies
27
Number of Standard Health Deficiencies
15
Number of Complaint Health Deficiencies
13
Health Deficiency Score
329
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
329
Standard Health Survey Date
2022-01-12
Total Number of Health Deficiencies
26
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
12
Health Deficiency Score
164
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
164
Number of Fines
4
Total Amount of Fines in Dollars
97219.00
Number of Payment Denials
0
Total Number of Penalties
4