Fahrney-keedy Memorial Home - Boonsboro Nursing Home

General Information

UPDATE
Federal Provider Number
215337
Provider Name
FAHRNEY-KEEDY MEMORIAL HOME
Provider Address
8507 MAPLEVILLE ROAD
BOONSBORO, MD 21713
Provider Phone Number
(301) 733-6284
Provider SSA County
210
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
106
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAHRNEY-KEEDY MEMORIAL HOME, INC
Date First Approved to Provide Medicare and Medicaid services
2001-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.18218
Reported LPN Staffing Hours per Resident per Day
0.65690
Reported RN Staffing Hours per Resident per Day
0.96379
Reported Licensed Staffing Hours per Resident per Day
1.62069
Reported Total Nurse Staffing Hours per Resident per Day
3.80287
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07989
Expected CNA Staffing Hours per Resident per Day
2.52173
Expected LPN Staffing Hours per Resident per Day
0.65047
Expected RN Staffing Hours per Resident per Day
1.14947
Expected Total Nurse Staffing Hours per Resident per Day
4.32168
Adjusted CNA Staffing Hours per Resident per Day
2.12331
Adjusted LPN Staffing Hours per Resident per Day
0.83820
Adjusted RN Staffing Hours per Resident per Day
0.62650
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54700
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
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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