Augsburg Lutheran Home - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215193
Provider Name
AUGSBURG LUTHERAN HOME
Provider Address
6811 CAMPFIELD ROAD
BALTIMORE, MD 21207
BALTIMORE, MD 21207
Provider Phone Number
4104864573
Provider SSA County
20
Provider County Name
Baltimore
Ownership Type
Non profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUGSBURG LUTHERAN HOME OF MD INC
Date First Approved to Provide Medicare and Medicaid services
1989-03-14
Continuing Care Retirement Community
Y
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
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
2.30116
Reported LPN Staffing Hours per Resident per Day
0.35543
Reported RN Staffing Hours per Resident per Day
0.65310
Reported Licensed Staffing Hours per Resident per Day
1.00853
Reported Total Nurse Staffing Hours per Resident per Day
3.30969
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03721
Expected CNA Staffing Hours per Resident per Day
2.18595
Expected LPN Staffing Hours per Resident per Day
0.56598
Expected RN Staffing Hours per Resident per Day
0.91941
Expected Total Nurse Staffing Hours per Resident per Day
3.67134
Adjusted CNA Staffing Hours per Resident per Day
2.58302
Adjusted LPN Staffing Hours per Resident per Day
0.52123
Adjusted RN Staffing Hours per Resident per Day
0.53077
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63383
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-08-09
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
10
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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