Frostburg Village - Frostburg Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
215115
Provider Name
FROSTBURG VILLAGE
Provider Address
ONE KAYLOR CIRCLE RT36 & RT40
FROSTBURG, MD 21532
FROSTBURG, MD 21532
Provider Phone Number
(301) 689-7500
Provider SSA County
0
Provider County Name
Allegany
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FROSTBURG FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-12-04
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
1
QM Rating Footnote
Staffing Rating
2
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
1.95310
Reported LPN Staffing Hours per Resident per Day
0.53717
Reported RN Staffing Hours per Resident per Day
0.67832
Reported Licensed Staffing Hours per Resident per Day
1.21549
Reported Total Nurse Staffing Hours per Resident per Day
3.16859
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01903
Expected CNA Staffing Hours per Resident per Day
2.54448
Expected LPN Staffing Hours per Resident per Day
0.61937
Expected RN Staffing Hours per Resident per Day
1.06927
Expected Total Nurse Staffing Hours per Resident per Day
4.23311
Adjusted CNA Staffing Hours per Resident per Day
1.88342
Adjusted LPN Staffing Hours per Resident per Day
0.71985
Adjusted RN Staffing Hours per Resident per Day
0.47401
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01723
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2013-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
3
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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