Copper Ridge - Sykesville Nursing Home
General Information
UPDATEFederal Provider Number
215265
Provider Name
COPPER RIDGE
Provider Address
710 OBRECHT ROAD
SYKESVILLE, MD 21784
SYKESVILLE, MD 21784
Provider Phone Number
(410) 795-8808
Provider SSA County
60
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COPPER RIDGE INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
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
3.36429
Reported LPN Staffing Hours per Resident per Day
0.52619
Reported RN Staffing Hours per Resident per Day
0.65238
Reported Licensed Staffing Hours per Resident per Day
1.17857
Reported Total Nurse Staffing Hours per Resident per Day
4.54286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07222
Expected CNA Staffing Hours per Resident per Day
2.78935
Expected LPN Staffing Hours per Resident per Day
0.62989
Expected RN Staffing Hours per Resident per Day
0.85853
Expected Total Nurse Staffing Hours per Resident per Day
4.27777
Adjusted CNA Staffing Hours per Resident per Day
2.95946
Adjusted LPN Staffing Hours per Resident per Day
0.69336
Adjusted RN Staffing Hours per Resident per Day
0.56778
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28069
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
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
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
2
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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