Knollwood Hsc - Washington Nursing Home
General Information
UPDATEFederal Provider Number
95026
Provider Name
KNOLLWOOD HSC
Provider Address
6200 OREGON AVE NW
WASHINGTON, DC 20015
WASHINGTON, DC 20015
Provider Phone Number
(202) 541-0150
Provider SSA County
0
Provider County Name
The District
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE ARMY DISTAFF FOUNDATION INC
Date First Approved to Provide Medicare and Medicaid services
1992-12-28
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
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
3.68431
Reported LPN Staffing Hours per Resident per Day
0.93824
Reported RN Staffing Hours per Resident per Day
1.23725
Reported Licensed Staffing Hours per Resident per Day
2.17549
Reported Total Nurse Staffing Hours per Resident per Day
5.85980
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22647
Expected CNA Staffing Hours per Resident per Day
2.64118
Expected LPN Staffing Hours per Resident per Day
0.65965
Expected RN Staffing Hours per Resident per Day
0.92025
Expected Total Nurse Staffing Hours per Resident per Day
4.22109
Adjusted CNA Staffing Hours per Resident per Day
3.42278
Adjusted LPN Staffing Hours per Resident per Day
1.18053
Adjusted RN Staffing Hours per Resident per Day
1.00458
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59578
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-06-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
61.33300
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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