Manor Care Health Services - Wheaton - Wheaton Nursing Home

General Information

UPDATE
Federal Provider Number
215048
Provider Name
MANOR CARE HEALTH SERVICES - WHEATON
Provider Address
11901 GEORGIA AVENUE
WHEATON, MD 20902
Provider Phone Number
3019422500
Provider SSA County
150
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WHEATON MD, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-06-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.84725
Reported LPN Staffing Hours per Resident per Day
0.96374
Reported RN Staffing Hours per Resident per Day
0.68187
Reported Licensed Staffing Hours per Resident per Day
1.64560
Reported Total Nurse Staffing Hours per Resident per Day
3.49286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20934
Expected CNA Staffing Hours per Resident per Day
2.43086
Expected LPN Staffing Hours per Resident per Day
0.69745
Expected RN Staffing Hours per Resident per Day
1.23153
Expected Total Nurse Staffing Hours per Resident per Day
4.35984
Adjusted CNA Staffing Hours per Resident per Day
1.86461
Adjusted LPN Staffing Hours per Resident per Day
1.14690
Adjusted RN Staffing Hours per Resident per Day
0.41371
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22933
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
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
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
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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