Crawford Retreat - Baltimore Nursing Home

General Information

UPDATE
Federal Provider Number
210000000000000000000000000000
Provider Name
CRAWFORD RETREAT
Provider Address
2117 DENISON STREET
BALTIMORE, MD 21216
Provider Phone Number
4105660160
Provider SSA County
30
Provider County Name
Baltimore City
Ownership Type
For profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
18
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.30278
Reported LPN Staffing Hours per Resident per Day
0.84167
Reported RN Staffing Hours per Resident per Day
0.77222
Reported Licensed Staffing Hours per Resident per Day
1.61389
Reported Total Nurse Staffing Hours per Resident per Day
3.91667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48292
Expected LPN Staffing Hours per Resident per Day
0.59458
Expected RN Staffing Hours per Resident per Day
0.71125
Expected Total Nurse Staffing Hours per Resident per Day
3.78875
Adjusted CNA Staffing Hours per Resident per Day
2.27568
Adjusted LPN Staffing Hours per Resident per Day
1.17492
Adjusted RN Staffing Hours per Resident per Day
0.81125
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16700
Cycle 1 Total Number of Health Deficiencies
34
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
0
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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