Charlotte Hall Veterans Home - Charlotte Hall Nursing Home
General Information
UPDATEFederal Provider Number
215161
Provider Name
CHARLOTTE HALL VETERANS HOME
Provider Address
29449 CHARLOTTE HALL ROAD
CHARLOTTE HALL, MD 20622
CHARLOTTE HALL, MD 20622
Provider Phone Number
(301) 884-8171
Provider SSA County
180
Provider County Name
St. Marys
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
286
Number of Residents in Certified Beds
270
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMR OF MARYLAND LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-17
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.47611
Reported LPN Staffing Hours per Resident per Day
0.78259
Reported RN Staffing Hours per Resident per Day
0.71963
Reported Licensed Staffing Hours per Resident per Day
1.50222
Reported Total Nurse Staffing Hours per Resident per Day
3.97833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03963
Expected CNA Staffing Hours per Resident per Day
2.48223
Expected LPN Staffing Hours per Resident per Day
0.59598
Expected RN Staffing Hours per Resident per Day
0.87550
Expected Total Nurse Staffing Hours per Resident per Day
3.95371
Adjusted CNA Staffing Hours per Resident per Day
2.44765
Adjusted LPN Staffing Hours per Resident per Day
1.08989
Adjusted RN Staffing Hours per Resident per Day
0.61417
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05600
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-20
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
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
41
Number of Substantiated Complaints
5
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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