Lorien Health Systems Mt Airy - Mount Airy Nursing Home
General Information
UPDATEFederal Provider Number
215335
Provider Name
LORIEN HEALTH SYSTEMS MT AIRY
Provider Address
705 MIDWAY AVENUE
MOUNT AIRY, MD 21771
MOUNT AIRY, MD 21771
Provider Phone Number
(301) 829-6050
Provider SSA County
60
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARENET HEALTH SYSTEMS & SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-09-18
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.82685
Reported LPN Staffing Hours per Resident per Day
0.67593
Reported RN Staffing Hours per Resident per Day
1.39074
Reported Licensed Staffing Hours per Resident per Day
2.06667
Reported Total Nurse Staffing Hours per Resident per Day
4.89352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10463
Expected CNA Staffing Hours per Resident per Day
2.59623
Expected LPN Staffing Hours per Resident per Day
0.77184
Expected RN Staffing Hours per Resident per Day
1.25257
Expected Total Nurse Staffing Hours per Resident per Day
4.62064
Adjusted CNA Staffing Hours per Resident per Day
2.67166
Adjusted LPN Staffing Hours per Resident per Day
0.72686
Adjusted RN Staffing Hours per Resident per Day
0.82962
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26895
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
36
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
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-02
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
14
Number of Substantiated Complaints
4
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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