Hillhaven Nursing Center - Adelphi Nursing Home

General Information

UPDATE
Federal Provider Number
215212
Provider Name
HILLHAVEN NURSING CENTER
Provider Address
3210 POWDER MILL ROAD
ADELPHI, MD 20783
Provider Phone Number
3019373939
Provider SSA County
160
Provider County Name
Prince Georges
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLHAVEN HEALTHCARE MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.67545
Reported LPN Staffing Hours per Resident per Day
0.76818
Reported RN Staffing Hours per Resident per Day
1.50545
Reported Licensed Staffing Hours per Resident per Day
2.27364
Reported Total Nurse Staffing Hours per Resident per Day
5.94908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25818
Expected CNA Staffing Hours per Resident per Day
2.59128
Expected LPN Staffing Hours per Resident per Day
0.71088
Expected RN Staffing Hours per Resident per Day
1.06132
Expected Total Nurse Staffing Hours per Resident per Day
4.36347
Adjusted CNA Staffing Hours per Resident per Day
3.48031
Adjusted LPN Staffing Hours per Resident per Day
0.89690
Adjusted RN Staffing Hours per Resident per Day
1.05988
Adjusted Total Nurse Staffing Hours per Resident per Day
5.49566
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
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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