Potomac Valley Nsg & Wellness - Rockville Nursing Home
General Information
UPDATEFederal Provider Number
215026
Provider Name
POTOMAC VALLEY NSG & WELLNESS
Provider Address
1235 POTOMAC VALLEY ROAD
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
Provider Phone Number
(301) 762-0700
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POTOMAC VALLEY NURSING FACILITIES INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.28365
Reported LPN Staffing Hours per Resident per Day
0.51090
Reported RN Staffing Hours per Resident per Day
1.05128
Reported Licensed Staffing Hours per Resident per Day
1.56218
Reported Total Nurse Staffing Hours per Resident per Day
3.84583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07340
Expected CNA Staffing Hours per Resident per Day
2.71475
Expected LPN Staffing Hours per Resident per Day
0.67051
Expected RN Staffing Hours per Resident per Day
1.00430
Expected Total Nurse Staffing Hours per Resident per Day
4.38955
Adjusted CNA Staffing Hours per Resident per Day
2.06406
Adjusted LPN Staffing Hours per Resident per Day
0.63243
Adjusted RN Staffing Hours per Resident per Day
0.78216
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53160
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-17
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
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-11-25
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
9
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
15
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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