Heritage Harbour Health And Rehabilitation Center - Annapolis Nursing Home
General Information
UPDATEFederal Provider Number
215325
Provider Name
HERITAGE HARBOUR HEALTH AND REHABILITATION CENTER
Provider Address
2700 SOUTH HAVEN ROAD
ANNAPOLIS, MD 21401
ANNAPOLIS, MD 21401
Provider Phone Number
4108971300
Provider SSA County
10
Provider County Name
Anne Arundel
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ANNAPOLIS OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-06
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
1.68419
Reported LPN Staffing Hours per Resident per Day
1.09669
Reported RN Staffing Hours per Resident per Day
0.77353
Reported Licensed Staffing Hours per Resident per Day
1.87022
Reported Total Nurse Staffing Hours per Resident per Day
3.55441
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10846
Expected CNA Staffing Hours per Resident per Day
2.35045
Expected LPN Staffing Hours per Resident per Day
0.65229
Expected RN Staffing Hours per Resident per Day
1.27611
Expected Total Nurse Staffing Hours per Resident per Day
4.27885
Adjusted CNA Staffing Hours per Resident per Day
1.75817
Adjusted LPN Staffing Hours per Resident per Day
1.39548
Adjusted RN Staffing Hours per Resident per Day
0.45292
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34844
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
16
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
154765
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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