Maplewood Park Place - Bethesda Nursing Home
General Information
UPDATEFederal Provider Number
215287
Provider Name
MAPLEWOOD PARK PLACE
Provider Address
9707 OLD GEORGETOWN ROAD
BETHESDA, MD 20814
BETHESDA, MD 20814
Provider Phone Number
(301) 530-0500
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLEWOOD PARK RETIREMENT SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1996-05-07
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.15227
Reported LPN Staffing Hours per Resident per Day
1.56591
Reported RN Staffing Hours per Resident per Day
1.13409
Reported Licensed Staffing Hours per Resident per Day
2.70000
Reported Total Nurse Staffing Hours per Resident per Day
5.85227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.49091
Expected CNA Staffing Hours per Resident per Day
2.58940
Expected LPN Staffing Hours per Resident per Day
0.70628
Expected RN Staffing Hours per Resident per Day
1.07064
Expected Total Nurse Staffing Hours per Resident per Day
4.36632
Adjusted CNA Staffing Hours per Resident per Day
2.98707
Adjusted LPN Staffing Hours per Resident per Day
1.84021
Adjusted RN Staffing Hours per Resident per Day
0.79148
Adjusted Total Nurse Staffing Hours per Resident per Day
5.40270
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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