Milford Manor Nursing Home - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215022
Provider Name
MILFORD MANOR NURSING HOME
Provider Address
4204 OLD MILFORD MILL ROAD
BALTIMORE, MD 21208
BALTIMORE, MD 21208
Provider Phone Number
4104861500
Provider SSA County
20
Provider County Name
Baltimore
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILFORD MANOR CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.37898
Reported LPN Staffing Hours per Resident per Day
1.05511
Reported RN Staffing Hours per Resident per Day
0.56307
Reported Licensed Staffing Hours per Resident per Day
1.61818
Reported Total Nurse Staffing Hours per Resident per Day
3.99716
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06193
Expected CNA Staffing Hours per Resident per Day
2.52339
Expected LPN Staffing Hours per Resident per Day
0.64713
Expected RN Staffing Hours per Resident per Day
0.98239
Expected Total Nurse Staffing Hours per Resident per Day
4.15292
Adjusted CNA Staffing Hours per Resident per Day
2.31328
Adjusted LPN Staffing Hours per Resident per Day
1.35326
Adjusted RN Staffing Hours per Resident per Day
0.42827
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87972
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2013-11-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-11-19
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
10
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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