Corsica Hills Center - Centreville Nursing Home
General Information
UPDATEFederal Provider Number
215114
Provider Name
CORSICA HILLS CENTER
Provider Address
205 ARMSTRONG AVENUE P.O. BOX 50
CENTREVILLE, MD 21617
CENTREVILLE, MD 21617
Provider Phone Number
(410) 758-2323
Provider SSA County
170
Provider County Name
Queen Annes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
205 ARMSTRONG AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1978-11-06
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
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
1.93942
Reported LPN Staffing Hours per Resident per Day
0.65529
Reported RN Staffing Hours per Resident per Day
1.02260
Reported Licensed Staffing Hours per Resident per Day
1.67788
Reported Total Nurse Staffing Hours per Resident per Day
3.61731
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09471
Expected CNA Staffing Hours per Resident per Day
2.63959
Expected LPN Staffing Hours per Resident per Day
0.66047
Expected RN Staffing Hours per Resident per Day
1.08449
Expected Total Nurse Staffing Hours per Resident per Day
4.38455
Adjusted CNA Staffing Hours per Resident per Day
1.80284
Adjusted LPN Staffing Hours per Resident per Day
0.82349
Adjusted RN Staffing Hours per Resident per Day
0.70456
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32554
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
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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