Northwest Hosp. Ctr. Sub. Unit - Randallstown Nursing Home
General Information
UPDATEFederal Provider Number
215291
Provider Name
NORTHWEST HOSP. CTR. SUB. UNIT
Provider Address
5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
RANDALLSTOWN, MD 21133
Provider Phone Number
(410) 521-2200
Provider SSA County
20
Provider County Name
Baltimore
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
39
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
NORTHWEST HOSPITAL CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1996-07-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
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
2.84500
Reported LPN Staffing Hours per Resident per Day
1.12833
Reported RN Staffing Hours per Resident per Day
3.55833
Reported Licensed Staffing Hours per Resident per Day
4.68667
Reported Total Nurse Staffing Hours per Resident per Day
7.53166
Reported Physical Therapist Staffing Hours per Resident Per Day
1.09333
Expected CNA Staffing Hours per Resident per Day
2.24080
Expected LPN Staffing Hours per Resident per Day
0.85676
Expected RN Staffing Hours per Resident per Day
2.05636
Expected Total Nurse Staffing Hours per Resident per Day
5.15392
Adjusted CNA Staffing Hours per Resident per Day
3.11530
Adjusted LPN Staffing Hours per Resident per Day
1.09309
Adjusted RN Staffing Hours per Resident per Day
1.29296
Adjusted Total Nurse Staffing Hours per Resident per Day
5.89054
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
4
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
36
Cycle 2 Standard Health Survey Date
2013-09-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
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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