Mid-atlantic Of Chapel Hill, Llc - Randallstown Nursing Home
General Information
UPDATEFederal Provider Number
215220
Provider Name
MID-ATLANTIC OF CHAPEL HILL, LLC
Provider Address
4511 ROBOSSON ROAD
RANDALLSTOWN, MD 21133
RANDALLSTOWN, MD 21133
Provider Phone Number
4109222443
Provider SSA County
20
Provider County Name
Baltimore
Ownership Type
For profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID-ATLANTIC OF CHAPEL HILL LLC
Date First Approved to Provide Medicare and Medicaid services
1990-03-01
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99322
Reported LPN Staffing Hours per Resident per Day
0.87881
Reported RN Staffing Hours per Resident per Day
0.76017
Reported Licensed Staffing Hours per Resident per Day
1.63898
Reported Total Nurse Staffing Hours per Resident per Day
3.63220
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08220
Expected CNA Staffing Hours per Resident per Day
2.73726
Expected LPN Staffing Hours per Resident per Day
0.70315
Expected RN Staffing Hours per Resident per Day
1.03833
Expected Total Nurse Staffing Hours per Resident per Day
4.47873
Adjusted CNA Staffing Hours per Resident per Day
1.78674
Adjusted LPN Staffing Hours per Resident per Day
1.03735
Adjusted RN Staffing Hours per Resident per Day
0.54703
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26901
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
21
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-09-11
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
4
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
24
Number of Substantiated Complaints
13
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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