Homewood At Williamsport Md - Williamsport Nursing Home

General Information

UPDATE
Federal Provider Number
215225
Provider Name
HOMEWOOD AT WILLIAMSPORT MD
Provider Address
16505 VIRGINIA AVENUE
WILLIAMSPORT, MD 21795
Provider Phone Number
(301) 582-1628
Provider SSA County
210
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
82
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMEWOOD AT WILLIAMSPORT MD, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.04400
Reported LPN Staffing Hours per Resident per Day
0.96000
Reported RN Staffing Hours per Resident per Day
0.57133
Reported Licensed Staffing Hours per Resident per Day
1.53133
Reported Total Nurse Staffing Hours per Resident per Day
4.57533
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04200
Expected CNA Staffing Hours per Resident per Day
2.70684
Expected LPN Staffing Hours per Resident per Day
0.62133
Expected RN Staffing Hours per Resident per Day
0.95725
Expected Total Nurse Staffing Hours per Resident per Day
4.28542
Adjusted CNA Staffing Hours per Resident per Day
2.75933
Adjusted LPN Staffing Hours per Resident per Day
1.28241
Adjusted RN Staffing Hours per Resident per Day
0.44596
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30359
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-05
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
4
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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