National Lutheran Home - Rockville Nursing Home
General Information
UPDATEFederal Provider Number
215125
Provider Name
NATIONAL LUTHERAN HOME
Provider Address
9701 VEIRS DRIVE
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
Provider Phone Number
(301) 424-9560
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NATIONAL LUTHERAN HOME AND VILLAGE AT ROCKVILLE, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-07-25
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.61575
Reported LPN Staffing Hours per Resident per Day
0.86610
Reported RN Staffing Hours per Resident per Day
1.22877
Reported Licensed Staffing Hours per Resident per Day
2.09486
Reported Total Nurse Staffing Hours per Resident per Day
4.71062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14418
Expected CNA Staffing Hours per Resident per Day
2.46371
Expected LPN Staffing Hours per Resident per Day
0.66811
Expected RN Staffing Hours per Resident per Day
1.21526
Expected Total Nurse Staffing Hours per Resident per Day
4.34708
Adjusted CNA Staffing Hours per Resident per Day
2.60512
Adjusted LPN Staffing Hours per Resident per Day
1.07597
Adjusted RN Staffing Hours per Resident per Day
0.75550
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36800
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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