Berlin Nursing And Rehabilitation Center - Berlin Nursing Home
General Information
UPDATEFederal Provider Number
215126
Provider Name
BERLIN NURSING AND REHABILITATION CENTER
Provider Address
9715 HEALTHWAY DRIVE, PO BOX 799
BERLIN, MD 21811
BERLIN, MD 21811
Provider Phone Number
(410) 641-4400
Provider SSA County
230
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
192
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID-ATLANTIC LONG TERM CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.19291
Reported LPN Staffing Hours per Resident per Day
0.63060
Reported RN Staffing Hours per Resident per Day
0.98955
Reported Licensed Staffing Hours per Resident per Day
1.62015
Reported Total Nurse Staffing Hours per Resident per Day
3.81306
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08955
Expected CNA Staffing Hours per Resident per Day
2.62126
Expected LPN Staffing Hours per Resident per Day
0.75194
Expected RN Staffing Hours per Resident per Day
1.35454
Expected Total Nurse Staffing Hours per Resident per Day
4.72775
Adjusted CNA Staffing Hours per Resident per Day
2.05273
Adjusted LPN Staffing Hours per Resident per Day
0.69606
Adjusted RN Staffing Hours per Resident per Day
0.54586
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25103
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
7
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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