Forest Hills Of Dc - Washington Nursing Home
General Information
UPDATEFederal Provider Number
95038
Provider Name
FOREST HILLS OF DC
Provider Address
4901 CONNECTICUT AVENUE, NW
WASHINGTON, DC 20008
WASHINGTON, DC 20008
Provider Phone Number
(202) 966-7623
Provider SSA County
0
Provider County Name
The District
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE METHODIST HOME OF THE DISTRICT OF COLUMBIA
Date First Approved to Provide Medicare and Medicaid services
2000-12-27
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.11531
Reported LPN Staffing Hours per Resident per Day
1.04082
Reported RN Staffing Hours per Resident per Day
1.41020
Reported Licensed Staffing Hours per Resident per Day
2.45102
Reported Total Nurse Staffing Hours per Resident per Day
5.56633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15714
Expected CNA Staffing Hours per Resident per Day
2.68850
Expected LPN Staffing Hours per Resident per Day
0.62449
Expected RN Staffing Hours per Resident per Day
0.91518
Expected Total Nurse Staffing Hours per Resident per Day
4.22817
Adjusted CNA Staffing Hours per Resident per Day
2.84323
Adjusted LPN Staffing Hours per Resident per Day
1.38334
Adjusted RN Staffing Hours per Resident per Day
1.15136
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30662
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-06-23
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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