Ravenwood Nursing Care Center - Hagerstown Nursing Home
General Information
UPDATEFederal Provider Number
215113
Provider Name
RAVENWOOD NURSING CARE CENTER
Provider Address
1183 LUTHER DRIVE
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
Provider Phone Number
(301) 790-1000
Provider SSA County
210
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC
Date First Approved to Provide Medicare and Medicaid services
1978-04-03
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21013
Reported LPN Staffing Hours per Resident per Day
0.76962
Reported RN Staffing Hours per Resident per Day
0.66076
Reported Licensed Staffing Hours per Resident per Day
1.43038
Reported Total Nurse Staffing Hours per Resident per Day
3.64051
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.60767
Expected LPN Staffing Hours per Resident per Day
0.65021
Expected RN Staffing Hours per Resident per Day
1.00693
Expected Total Nurse Staffing Hours per Resident per Day
4.26481
Adjusted CNA Staffing Hours per Resident per Day
2.07963
Adjusted LPN Staffing Hours per Resident per Day
0.98242
Adjusted RN Staffing Hours per Resident per Day
0.49032
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44084
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
17
Number of Substantiated Complaints
4
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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