Pleasant View Nsg Home - Mount Airy Nursing Home
General Information
UPDATEFederal Provider Number
215268
Provider Name
PLEASANT VIEW NSG HOME
Provider Address
4101 OLD NATIONAL PIKE
MOUNT AIRY, MD 21771
MOUNT AIRY, MD 21771
Provider Phone Number
(301) 829-0800
Provider SSA County
60
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT VIEW NURSING HOME OF MT. AIRY
Date First Approved to Provide Medicare and Medicaid services
1994-09-13
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67184
Reported LPN Staffing Hours per Resident per Day
0.62816
Reported RN Staffing Hours per Resident per Day
0.34078
Reported Licensed Staffing Hours per Resident per Day
0.96893
Reported Total Nurse Staffing Hours per Resident per Day
3.64078
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00534
Expected CNA Staffing Hours per Resident per Day
2.52706
Expected LPN Staffing Hours per Resident per Day
0.61937
Expected RN Staffing Hours per Resident per Day
0.84258
Expected Total Nurse Staffing Hours per Resident per Day
3.98901
Adjusted CNA Staffing Hours per Resident per Day
2.59428
Adjusted LPN Staffing Hours per Resident per Day
0.84178
Adjusted RN Staffing Hours per Resident per Day
0.30220
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67902
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
0
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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