Lisner Louise Dickson Hurthome - Washington Nursing Home
General Information
UPDATEFederal Provider Number
95025
Provider Name
LISNER LOUISE DICKSON HURTHOME
Provider Address
5425 WESTERN AVE NW
WASHINGTON, DC 20015
WASHINGTON, DC 20015
Provider Phone Number
(202) 966-6667
Provider SSA County
0
Provider County Name
The District
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN
Date First Approved to Provide Medicare and Medicaid services
1992-11-12
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
4
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
3.19630
Reported LPN Staffing Hours per Resident per Day
0.66389
Reported RN Staffing Hours per Resident per Day
1.77593
Reported Licensed Staffing Hours per Resident per Day
2.43981
Reported Total Nurse Staffing Hours per Resident per Day
5.63612
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.73939
Expected LPN Staffing Hours per Resident per Day
0.61041
Expected RN Staffing Hours per Resident per Day
0.91560
Expected Total Nurse Staffing Hours per Resident per Day
4.26540
Adjusted CNA Staffing Hours per Resident per Day
2.86296
Adjusted LPN Staffing Hours per Resident per Day
0.90271
Adjusted RN Staffing Hours per Resident per Day
1.44929
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32626
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
44.00000
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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