Loch Raven Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215090
Provider Name
LOCH RAVEN CENTER
Provider Address
8720 EMGE ROAD
BALTIMORE, MD 21234
BALTIMORE, MD 21234
Provider Phone Number
(410) 668-1961
Provider SSA County
20
Provider County Name
Baltimore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
8720 EMGE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-18
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37742
Reported LPN Staffing Hours per Resident per Day
0.99731
Reported RN Staffing Hours per Resident per Day
0.94140
Reported Licensed Staffing Hours per Resident per Day
1.93871
Reported Total Nurse Staffing Hours per Resident per Day
4.31613
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07312
Expected CNA Staffing Hours per Resident per Day
2.36833
Expected LPN Staffing Hours per Resident per Day
0.68922
Expected RN Staffing Hours per Resident per Day
1.19874
Expected Total Nurse Staffing Hours per Resident per Day
4.25629
Adjusted CNA Staffing Hours per Resident per Day
2.46312
Adjusted LPN Staffing Hours per Resident per Day
1.20102
Adjusted RN Staffing Hours per Resident per Day
0.58679
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08757
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-07
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
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
84.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
11
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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