Future Care Charles Village, Llc - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215324
Provider Name
FUTURE CARE CHARLES VILLAGE, LLC
Provider Address
2327 N. CHARLES ST
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Provider Phone Number
(410) 889-8500
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FUTURECARE CHARLES VILLAGE, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-08-30
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
4
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
2.38196
Reported LPN Staffing Hours per Resident per Day
0.58918
Reported RN Staffing Hours per Resident per Day
1.04588
Reported Licensed Staffing Hours per Resident per Day
1.63505
Reported Total Nurse Staffing Hours per Resident per Day
4.01702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07010
Expected CNA Staffing Hours per Resident per Day
2.56516
Expected LPN Staffing Hours per Resident per Day
0.73746
Expected RN Staffing Hours per Resident per Day
1.17646
Expected Total Nurse Staffing Hours per Resident per Day
4.47908
Adjusted CNA Staffing Hours per Resident per Day
2.27846
Adjusted LPN Staffing Hours per Resident per Day
0.66311
Adjusted RN Staffing Hours per Resident per Day
0.66427
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61507
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-17
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
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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