Future Care Canton Harbor - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215176
Provider Name
FUTURE CARE CANTON HARBOR
Provider Address
1300 S. ELLWOOD AVENUE
BALTIMORE, MD 21224
BALTIMORE, MD 21224
Provider Phone Number
(410) 342-6644
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CANTON HARBOR HEALTHCARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.16020
Reported LPN Staffing Hours per Resident per Day
0.74150
Reported RN Staffing Hours per Resident per Day
0.96633
Reported Licensed Staffing Hours per Resident per Day
1.70782
Reported Total Nurse Staffing Hours per Resident per Day
3.86803
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09082
Expected CNA Staffing Hours per Resident per Day
2.44710
Expected LPN Staffing Hours per Resident per Day
0.66756
Expected RN Staffing Hours per Resident per Day
1.07724
Expected Total Nurse Staffing Hours per Resident per Day
4.19190
Adjusted CNA Staffing Hours per Resident per Day
2.16603
Adjusted LPN Staffing Hours per Resident per Day
0.92193
Adjusted RN Staffing Hours per Resident per Day
0.67027
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71947
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
19
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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