Long Green Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215031
Provider Name
LONG GREEN CENTER
Provider Address
115 EAST MELROSE AVENUE
BALTIMORE, MD 21212
BALTIMORE, MD 21212
Provider Phone Number
(410) 435-9073
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
115 EAST MELROSE AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1967-02-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.30948
Reported LPN Staffing Hours per Resident per Day
1.00086
Reported RN Staffing Hours per Resident per Day
0.75129
Reported Licensed Staffing Hours per Resident per Day
1.75216
Reported Total Nurse Staffing Hours per Resident per Day
4.06163
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06724
Expected CNA Staffing Hours per Resident per Day
2.39227
Expected LPN Staffing Hours per Resident per Day
0.67040
Expected RN Staffing Hours per Resident per Day
1.15680
Expected Total Nurse Staffing Hours per Resident per Day
4.21948
Adjusted CNA Staffing Hours per Resident per Day
2.36878
Adjusted LPN Staffing Hours per Resident per Day
1.23914
Adjusted RN Staffing Hours per Resident per Day
0.48527
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88011
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
84
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
6
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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