Overall Rating
Address
8401 Roosevelt Boulevard
Philadelphia, PA 19152
Contact
2156245800
Certification Date
1978-09-01
CMS Certification Number
395413
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Average Number of Residents per Day
96.4
Provider Type
Medicare and Medicaid
Legal Business Name
EVANGELICAL MANOR
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
3
Quality Measure Rating
3
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.05743
Reported LPN Staffing Hours per Resident per Day
0.70797
Reported RN Staffing Hours per Resident per Day
0.89588
Reported Total Nurse Staffing Hours per Resident per Day
3.66128
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.26025
Registered Nurse Hours per Resident per Day on the Weekend
0.58340
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04986
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
46.667
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2024-01-08
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
3
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2023-03-03
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
1
Health Deficiency Score
76
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
76
Standard Health Survey Date
2022-04-25
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Number of Fines
2
Total Amount of Fines in Dollars
23363.75
Number of Payment Denials
0
Total Number of Penalties
2