Broadmead - Cockeysville Nursing Home
General Information
UPDATEFederal Provider Number
215123
Provider Name
BROADMEAD
Provider Address
13801 YORK ROAD
COCKEYSVILLE, MD 21030
COCKEYSVILLE, MD 21030
Provider Phone Number
4105271900
Provider SSA County
20
Provider County Name
Baltimore
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROADMEAD, INC
Date First Approved to Provide Medicare and Medicaid services
1980-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.48333
Reported LPN Staffing Hours per Resident per Day
0.74804
Reported RN Staffing Hours per Resident per Day
0.67059
Reported Licensed Staffing Hours per Resident per Day
1.41863
Reported Total Nurse Staffing Hours per Resident per Day
4.90196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11176
Expected CNA Staffing Hours per Resident per Day
2.26917
Expected LPN Staffing Hours per Resident per Day
0.52272
Expected RN Staffing Hours per Resident per Day
0.84648
Expected Total Nurse Staffing Hours per Resident per Day
3.63837
Adjusted CNA Staffing Hours per Resident per Day
3.76659
Adjusted LPN Staffing Hours per Resident per Day
1.18778
Adjusted RN Staffing Hours per Resident per Day
0.59194
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43082
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-08-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
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
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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