Calvert County Nursing Ctr. - Prince Frederick Nursing Home

General Information

UPDATE
Federal Provider Number
215188
Provider Name
CALVERT COUNTY NURSING CTR.
Provider Address
85 HOSPITAL ROAD
PRINCE FREDERICK, MD 20678
Provider Phone Number
(410) 535-2300
Provider SSA County
40
Provider County Name
Calvert
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALVERT COUNTY NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-02-28
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.62269
Reported LPN Staffing Hours per Resident per Day
0.89454
Reported RN Staffing Hours per Resident per Day
0.65546
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
4.17269
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05084
Expected CNA Staffing Hours per Resident per Day
2.50247
Expected LPN Staffing Hours per Resident per Day
0.59926
Expected RN Staffing Hours per Resident per Day
0.84258
Expected Total Nurse Staffing Hours per Resident per Day
3.94431
Adjusted CNA Staffing Hours per Resident per Day
2.57158
Adjusted LPN Staffing Hours per Resident per Day
1.23898
Adjusted RN Staffing Hours per Resident per Day
0.58126
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26429
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
91
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
91
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
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
76
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
76.16700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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