Patapsco Valley Center - Randallstown Nursing Home
General Information
UPDATEFederal Provider Number
215084
Provider Name
PATAPSCO VALLEY CENTER
Provider Address
9109 LIBERTY ROAD
RANDALLSTOWN, MD 21133
RANDALLSTOWN, MD 21133
Provider Phone Number
(410) 655-7373
Provider SSA County
20
Provider County Name
Baltimore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
9109 LIBERTY ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1972-04-24
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.09065
Reported LPN Staffing Hours per Resident per Day
1.00360
Reported RN Staffing Hours per Resident per Day
0.91547
Reported Licensed Staffing Hours per Resident per Day
1.91906
Reported Total Nurse Staffing Hours per Resident per Day
4.00972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08525
Expected CNA Staffing Hours per Resident per Day
2.43313
Expected LPN Staffing Hours per Resident per Day
0.66216
Expected RN Staffing Hours per Resident per Day
1.19806
Expected Total Nurse Staffing Hours per Resident per Day
4.29336
Adjusted CNA Staffing Hours per Resident per Day
2.10832
Adjusted LPN Staffing Hours per Resident per Day
1.25798
Adjusted RN Staffing Hours per Resident per Day
0.57096
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76460
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
25
Cycle 2 Health Deficiency Score
211
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
211
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
117.00000
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
196040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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