Carroll Lutheran Village - Westminster Nursing Home

General Information

UPDATE
Federal Provider Number
215133
Provider Name
CARROLL LUTHERAN VILLAGE
Provider Address
200 ST. LUKE'S CIRCLE
WESTMINSTER, MD 21157
Provider Phone Number
4108480225
Provider SSA County
60
Provider County Name
Carroll
Ownership Type
Non profit - Church related
Number of Certified Beds
103
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARROLL LUTHERAN VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1981-09-14
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.61386
Reported LPN Staffing Hours per Resident per Day
0.94059
Reported RN Staffing Hours per Resident per Day
0.79604
Reported Licensed Staffing Hours per Resident per Day
1.73663
Reported Total Nurse Staffing Hours per Resident per Day
4.35049
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14653
Expected CNA Staffing Hours per Resident per Day
2.46771
Expected LPN Staffing Hours per Resident per Day
0.58648
Expected RN Staffing Hours per Resident per Day
0.94092
Expected Total Nurse Staffing Hours per Resident per Day
3.99512
Adjusted CNA Staffing Hours per Resident per Day
2.59902
Adjusted LPN Staffing Hours per Resident per Day
1.33114
Adjusted RN Staffing Hours per Resident per Day
0.63215
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38945
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-12-17
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
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
37
Number of Substantiated Complaints
6
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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