Envoy Of Pikesville - Pikesville Nursing Home
General Information
UPDATEFederal Provider Number
215082
Provider Name
ENVOY OF PIKESVILLE
Provider Address
7 SUDBROOK LANE
PIKESVILLE, MD 21208
PIKESVILLE, MD 21208
Provider Phone Number
(410) 486-8771
Provider SSA County
20
Provider County Name
Baltimore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF PIKESVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-06-29
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72713
Reported LPN Staffing Hours per Resident per Day
0.81550
Reported RN Staffing Hours per Resident per Day
0.53411
Reported Licensed Staffing Hours per Resident per Day
1.34961
Reported Total Nurse Staffing Hours per Resident per Day
4.07674
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09186
Expected CNA Staffing Hours per Resident per Day
2.42260
Expected LPN Staffing Hours per Resident per Day
0.63539
Expected RN Staffing Hours per Resident per Day
0.98051
Expected Total Nurse Staffing Hours per Resident per Day
4.03849
Adjusted CNA Staffing Hours per Resident per Day
2.76214
Adjusted LPN Staffing Hours per Resident per Day
1.06528
Adjusted RN Staffing Hours per Resident per Day
0.40702
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06907
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
25
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-01-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2012-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
13
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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