Bridgepark Healthcare Center - Frm Liberty Heights - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215195
Provider Name
BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Provider Address
4017 LIBERTY HEIGHTS AVE.
BALTIMORE, MD 21207
BALTIMORE, MD 21207
Provider Phone Number
(410) 542-5306
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.16591
Reported LPN Staffing Hours per Resident per Day
1.30057
Reported RN Staffing Hours per Resident per Day
0.97670
Reported Licensed Staffing Hours per Resident per Day
2.27727
Reported Total Nurse Staffing Hours per Resident per Day
4.44318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.40976
Expected LPN Staffing Hours per Resident per Day
0.75964
Expected RN Staffing Hours per Resident per Day
1.34860
Expected Total Nurse Staffing Hours per Resident per Day
4.51800
Adjusted CNA Staffing Hours per Resident per Day
2.20540
Adjusted LPN Staffing Hours per Resident per Day
1.42103
Adjusted RN Staffing Hours per Resident per Day
0.54115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96414
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-06-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
17
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
108.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
68900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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