Devlin Manor Nursing Home - Cumberland Nursing Home
General Information
UPDATEFederal Provider Number
215244
Provider Name
DEVLIN MANOR NURSING HOME
Provider Address
10301 NORTH EAST CHRISTIE ROAD
CUMBERLAND, MD 21501
CUMBERLAND, MD 21501
Provider Phone Number
(301) 724-1400
Provider SSA County
0
Provider County Name
Allegany
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PERINI SERVICES DEVLIN MANOR LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1992-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.79223
Reported LPN Staffing Hours per Resident per Day
0.27816
Reported RN Staffing Hours per Resident per Day
1.35583
Reported Licensed Staffing Hours per Resident per Day
1.63398
Reported Total Nurse Staffing Hours per Resident per Day
3.42622
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05485
Expected CNA Staffing Hours per Resident per Day
2.35803
Expected LPN Staffing Hours per Resident per Day
0.66822
Expected RN Staffing Hours per Resident per Day
1.10766
Expected Total Nurse Staffing Hours per Resident per Day
4.13391
Adjusted CNA Staffing Hours per Resident per Day
1.86494
Adjusted LPN Staffing Hours per Resident per Day
0.34550
Adjusted RN Staffing Hours per Resident per Day
0.91461
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34084
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
19
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
28
Number of Substantiated Complaints
20
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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