Alice Manor Rehabilitation Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215215
Provider Name
ALICE MANOR REHABILITATION CENTER
Provider Address
2095 ROCKROSE AVENUE
BALTIMORE, MD 21211
BALTIMORE, MD 21211
Provider Phone Number
(410) 889-9700
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARDLEIGH NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1990-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
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
2.79032
Reported LPN Staffing Hours per Resident per Day
0.57581
Reported RN Staffing Hours per Resident per Day
0.78280
Reported Licensed Staffing Hours per Resident per Day
1.35860
Reported Total Nurse Staffing Hours per Resident per Day
4.14893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03548
Expected CNA Staffing Hours per Resident per Day
2.51314
Expected LPN Staffing Hours per Resident per Day
0.73275
Expected RN Staffing Hours per Resident per Day
1.24106
Expected Total Nurse Staffing Hours per Resident per Day
4.48695
Adjusted CNA Staffing Hours per Resident per Day
2.72433
Adjusted LPN Staffing Hours per Resident per Day
0.65223
Adjusted RN Staffing Hours per Resident per Day
0.47130
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72723
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
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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