Maryland Baptist Aged Home - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215360
Provider Name
MARYLAND BAPTIST AGED HOME
Provider Address
2801 RAYNER AVENUE
BALTIMORE, MD 21216
BALTIMORE, MD 21216
Provider Phone Number
4109457650
Provider SSA County
30
Provider County Name
Baltimore City
Ownership Type
Non profit - Church related
Number of Certified Beds
29
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYLAND BAPTIST AGED HOME OF THE UNITED BAPTIST MISSIONARY CONVEN
Date First Approved to Provide Medicare and Medicaid services
2013-08-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.22500
Reported LPN Staffing Hours per Resident per Day
0.69231
Reported RN Staffing Hours per Resident per Day
0.93269
Reported Licensed Staffing Hours per Resident per Day
1.62500
Reported Total Nurse Staffing Hours per Resident per Day
3.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18462
Expected CNA Staffing Hours per Resident per Day
2.03147
Expected LPN Staffing Hours per Resident per Day
0.50333
Expected RN Staffing Hours per Resident per Day
0.77927
Expected Total Nurse Staffing Hours per Resident per Day
3.31407
Adjusted CNA Staffing Hours per Resident per Day
2.68746
Adjusted LPN Staffing Hours per Resident per Day
1.14163
Adjusted RN Staffing Hours per Resident per Day
0.89430
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68275
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-02
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.20000
Number of Facility Reported Incidents
4
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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