Good Samaritan Nursing Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215241
Provider Name
GOOD SAMARITAN NURSING CENTER
Provider Address
1601 E. BELVEDERE AVENUE
BALTIMORE, MD 21239
BALTIMORE, MD 21239
Provider Phone Number
(410) 532-5600
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SAMARITAN NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1992-06-05
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
2.64252
Reported LPN Staffing Hours per Resident per Day
0.82991
Reported RN Staffing Hours per Resident per Day
0.98832
Reported Licensed Staffing Hours per Resident per Day
1.81822
Reported Total Nurse Staffing Hours per Resident per Day
4.46075
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10421
Expected CNA Staffing Hours per Resident per Day
2.57191
Expected LPN Staffing Hours per Resident per Day
0.69204
Expected RN Staffing Hours per Resident per Day
1.09275
Expected Total Nurse Staffing Hours per Resident per Day
4.35670
Adjusted CNA Staffing Hours per Resident per Day
2.52107
Adjusted LPN Staffing Hours per Resident per Day
0.99535
Adjusted RN Staffing Hours per Resident per Day
0.67579
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12717
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
16
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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