Collington Episcopal Life Care - Mitchellville Nursing Home
General Information
UPDATEFederal Provider Number
215180
Provider Name
COLLINGTON EPISCOPAL LIFE CARE
Provider Address
10450 LOTTSFORD ROAD
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
Provider Phone Number
(301) 925-9610
Provider SSA County
160
Provider County Name
Prince Georges
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC
Date First Approved to Provide Medicare and Medicaid services
1988-12-06
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53243
Reported LPN Staffing Hours per Resident per Day
1.08108
Reported RN Staffing Hours per Resident per Day
1.46622
Reported Licensed Staffing Hours per Resident per Day
2.54730
Reported Total Nurse Staffing Hours per Resident per Day
5.07973
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30541
Expected CNA Staffing Hours per Resident per Day
2.53863
Expected LPN Staffing Hours per Resident per Day
0.62264
Expected RN Staffing Hours per Resident per Day
1.11222
Expected Total Nurse Staffing Hours per Resident per Day
4.27348
Adjusted CNA Staffing Hours per Resident per Day
2.44771
Adjusted LPN Staffing Hours per Resident per Day
1.44112
Adjusted RN Staffing Hours per Resident per Day
0.98502
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79138
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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