Levindale Hebrew Ger Ctr & Hsp - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215033
Provider Name
LEVINDALE HEBREW GER CTR & HSP
Provider Address
2434 W. BELVEDERE AVENUE
BALTIMORE, MD 21215
BALTIMORE, MD 21215
Provider Phone Number
(410) 466-8700
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
199
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
3.18668
Reported LPN Staffing Hours per Resident per Day
1.45779
Reported RN Staffing Hours per Resident per Day
1.16910
Reported Licensed Staffing Hours per Resident per Day
2.62688
Reported Total Nurse Staffing Hours per Resident per Day
5.81357
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16658
Expected CNA Staffing Hours per Resident per Day
2.52656
Expected LPN Staffing Hours per Resident per Day
0.71678
Expected RN Staffing Hours per Resident per Day
1.10763
Expected Total Nurse Staffing Hours per Resident per Day
4.35097
Adjusted CNA Staffing Hours per Resident per Day
3.09478
Adjusted LPN Staffing Hours per Resident per Day
1.68806
Adjusted RN Staffing Hours per Resident per Day
0.78867
Adjusted Total Nurse Staffing Hours per Resident per Day
5.38591
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
13
Number of Substantiated Complaints
12
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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