Woodside Center - Silver Spring Nursing Home
General Information
UPDATEFederal Provider Number
215060
Provider Name
WOODSIDE CENTER
Provider Address
9101 SECOND AVENUE
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
Provider Phone Number
3015885544
Provider SSA County
150
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
9101 SECOND AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1968-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88274
Reported LPN Staffing Hours per Resident per Day
0.79821
Reported RN Staffing Hours per Resident per Day
0.97024
Reported Licensed Staffing Hours per Resident per Day
1.76845
Reported Total Nurse Staffing Hours per Resident per Day
3.65119
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07083
Expected CNA Staffing Hours per Resident per Day
2.47022
Expected LPN Staffing Hours per Resident per Day
0.63887
Expected RN Staffing Hours per Resident per Day
1.07073
Expected Total Nurse Staffing Hours per Resident per Day
4.17982
Adjusted CNA Staffing Hours per Resident per Day
1.87015
Adjusted LPN Staffing Hours per Resident per Day
1.03701
Adjusted RN Staffing Hours per Resident per Day
0.67707
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52111
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-03
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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