Washington Ctr For Aging Svcs - Washington Nursing Home

General Information

UPDATE
Federal Provider Number
95014
Provider Name
WASHINGTON CTR FOR AGING SVCS
Provider Address
2601 18TH STREET NE
WASHINGTON, DC 20018
Provider Phone Number
2025416140
Provider SSA County
0
Provider County Name
The District
Ownership Type
Non profit - Corporation
Number of Certified Beds
259
Number of Residents in Certified Beds
238
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STODDARD BAPTIST GLOBAL CARE
Date First Approved to Provide Medicare and Medicaid services
1982-01-31
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.97794
Reported LPN Staffing Hours per Resident per Day
0.87080
Reported RN Staffing Hours per Resident per Day
0.96197
Reported Licensed Staffing Hours per Resident per Day
1.83277
Reported Total Nurse Staffing Hours per Resident per Day
4.81071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05021
Expected CNA Staffing Hours per Resident per Day
2.46245
Expected LPN Staffing Hours per Resident per Day
0.62667
Expected RN Staffing Hours per Resident per Day
0.98769
Expected Total Nurse Staffing Hours per Resident per Day
4.07680
Adjusted CNA Staffing Hours per Resident per Day
2.96736
Adjusted LPN Staffing Hours per Resident per Day
1.15334
Adjusted RN Staffing Hours per Resident per Day
0.72774
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75654
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-09-02
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
60
Cycle 1 Total Health Score
180
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-07-15
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
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
130.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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