Northwest Nursing And Rehab Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215346
Provider Name
NORTHWEST NURSING AND REHAB CENTER
Provider Address
4601 PALL MALL ROAD
BALTIMORE, MD 21215
BALTIMORE, MD 21215
Provider Phone Number
(410) 664-5551
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2004-09-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.74000
Reported LPN Staffing Hours per Resident per Day
0.96824
Reported RN Staffing Hours per Resident per Day
0.24529
Reported Licensed Staffing Hours per Resident per Day
1.21353
Reported Total Nurse Staffing Hours per Resident per Day
2.95353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06706
Expected CNA Staffing Hours per Resident per Day
2.34511
Expected LPN Staffing Hours per Resident per Day
0.58482
Expected RN Staffing Hours per Resident per Day
0.86421
Expected Total Nurse Staffing Hours per Resident per Day
3.79414
Adjusted CNA Staffing Hours per Resident per Day
1.82057
Adjusted LPN Staffing Hours per Resident per Day
1.37417
Adjusted RN Staffing Hours per Resident per Day
0.21208
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13783
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
19
Number of Substantiated Complaints
11
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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