Manor Care Health Services - Chevy Chase - Chevy Chase Nursing Home
General Information
UPDATEFederal Provider Number
215029
Provider Name
MANOR CARE HEALTH SERVICES - CHEVY CHASE
Provider Address
8700 JONES MILL ROAD
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
Provider Phone Number
(301) 657-8686
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF CHEVY CHASE MD LLC
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
Resident
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
5
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
2.09024
Reported LPN Staffing Hours per Resident per Day
0.54309
Reported RN Staffing Hours per Resident per Day
1.17073
Reported Licensed Staffing Hours per Resident per Day
1.71382
Reported Total Nurse Staffing Hours per Resident per Day
3.80406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13496
Expected CNA Staffing Hours per Resident per Day
2.50158
Expected LPN Staffing Hours per Resident per Day
0.64752
Expected RN Staffing Hours per Resident per Day
0.94367
Expected Total Nurse Staffing Hours per Resident per Day
4.09278
Adjusted CNA Staffing Hours per Resident per Day
2.05023
Adjusted LPN Staffing Hours per Resident per Day
0.69614
Adjusted RN Staffing Hours per Resident per Day
0.92699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74655
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
140
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
18
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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