Fort Washington Health & Rehabilitation Center - Fort Washington Nursing Home
General Information
UPDATEFederal Provider Number
215146
Provider Name
FORT WASHINGTON HEALTH & REHABILITATION CENTER
Provider Address
12021 LIVINGSTON ROAD
FORT WASHINGTON, MD 20744
FORT WASHINGTON, MD 20744
Provider Phone Number
3012920300
Provider SSA County
160
Provider County Name
Prince Georges
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIVINGSTON LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1983-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.81301
Reported LPN Staffing Hours per Resident per Day
0.99212
Reported RN Staffing Hours per Resident per Day
0.53253
Reported Licensed Staffing Hours per Resident per Day
1.52466
Reported Total Nurse Staffing Hours per Resident per Day
3.33766
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14281
Expected CNA Staffing Hours per Resident per Day
2.49001
Expected LPN Staffing Hours per Resident per Day
0.65462
Expected RN Staffing Hours per Resident per Day
1.10416
Expected Total Nurse Staffing Hours per Resident per Day
4.24878
Adjusted CNA Staffing Hours per Resident per Day
1.78657
Adjusted LPN Staffing Hours per Resident per Day
1.25793
Adjusted RN Staffing Hours per Resident per Day
0.36037
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16650
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
115
Cycle 2 Standard Health Survey Date
2013-05-01
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
52.33300
Number of Facility Reported Incidents
5
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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Sacred Heart Home Inc
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Crescent Cities Center
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