Medstar Southern Maryland Hospital Center - Clinton Nursing Home

General Information

UPDATE
Federal Provider Number
215358
Provider Name
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
Provider Address
7503 SURRATTS ROAD
CLINTON, MD 20735
Provider Phone Number
(301) 868-8000
Provider SSA County
160
Provider County Name
Prince Georges
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
2013-02-14
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
5
Health Inspection Rating Footnote
QM Rating
2
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
2.56042
Reported LPN Staffing Hours per Resident per Day
1.66667
Reported RN Staffing Hours per Resident per Day
1.95833
Reported Licensed Staffing Hours per Resident per Day
3.62500
Reported Total Nurse Staffing Hours per Resident per Day
6.18542
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
1.96255
Expected LPN Staffing Hours per Resident per Day
0.64195
Expected RN Staffing Hours per Resident per Day
1.58638
Expected Total Nurse Staffing Hours per Resident per Day
4.19089
Adjusted CNA Staffing Hours per Resident per Day
3.20119
Adjusted LPN Staffing Hours per Resident per Day
2.15490
Adjusted RN Staffing Hours per Resident per Day
0.92239
Adjusted Total Nurse Staffing Hours per Resident per Day
5.94929
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-12-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
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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