Collingswood Nsg. & Rehab. Cen - Rockville Nursing Home
General Information
UPDATEFederal Provider Number
215092
Provider Name
COLLINGSWOOD NSG. & REHAB. CEN
Provider Address
299 HURLEY AVENUE
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
Provider Phone Number
(301) 762-8900
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
149
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLLINGSWOOD NURSING FACILITIES INC
Date First Approved to Provide Medicare and Medicaid services
1973-06-12
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.38523
Reported LPN Staffing Hours per Resident per Day
0.71879
Reported RN Staffing Hours per Resident per Day
0.78020
Reported Licensed Staffing Hours per Resident per Day
1.49899
Reported Total Nurse Staffing Hours per Resident per Day
3.88422
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09631
Expected CNA Staffing Hours per Resident per Day
2.59708
Expected LPN Staffing Hours per Resident per Day
0.67962
Expected RN Staffing Hours per Resident per Day
1.04675
Expected Total Nurse Staffing Hours per Resident per Day
4.32344
Adjusted CNA Staffing Hours per Resident per Day
2.25355
Adjusted LPN Staffing Hours per Resident per Day
0.87784
Adjusted RN Staffing Hours per Resident per Day
0.55693
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62140
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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