Brooke Grove Rehab. & Nsg Ctr - Sandy Spring Nursing Home
General Information
UPDATEFederal Provider Number
215200
Provider Name
BROOKE GROVE REHAB. & NSG CTR
Provider Address
18131 SLADE SCHOOL ROAD
SANDY SPRING, MD 20860
SANDY SPRING, MD 20860
Provider Phone Number
(301) 924-5176
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
168
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GERIATRIC ASSOC BROOK
Date First Approved to Provide Medicare and Medicaid services
1989-06-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81887
Reported LPN Staffing Hours per Resident per Day
0.87748
Reported RN Staffing Hours per Resident per Day
0.45397
Reported Licensed Staffing Hours per Resident per Day
1.33146
Reported Total Nurse Staffing Hours per Resident per Day
4.15032
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16026
Expected CNA Staffing Hours per Resident per Day
2.39686
Expected LPN Staffing Hours per Resident per Day
0.60117
Expected RN Staffing Hours per Resident per Day
0.99714
Expected Total Nurse Staffing Hours per Resident per Day
3.99517
Adjusted CNA Staffing Hours per Resident per Day
2.88572
Adjusted LPN Staffing Hours per Resident per Day
1.21148
Adjusted RN Staffing Hours per Resident per Day
0.34018
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18744
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
15
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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