Riderwood Village - Silver Spring Nursing Home
General Information
UPDATEFederal Provider Number
215343
Provider Name
RIDERWOOD VILLAGE
Provider Address
3160 GRACEFIELD ROAD
SILVER SPRING, MD 20904
SILVER SPRING, MD 20904
Provider Phone Number
(301) 572-8420
Provider SSA County
160
Provider County Name
Prince Georges
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIDERWOOD VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-06-06
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.88938
Reported LPN Staffing Hours per Resident per Day
1.00177
Reported RN Staffing Hours per Resident per Day
1.03009
Reported Licensed Staffing Hours per Resident per Day
2.03186
Reported Total Nurse Staffing Hours per Resident per Day
4.92124
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42124
Expected CNA Staffing Hours per Resident per Day
2.63970
Expected LPN Staffing Hours per Resident per Day
0.62271
Expected RN Staffing Hours per Resident per Day
1.00836
Expected Total Nurse Staffing Hours per Resident per Day
4.27077
Adjusted CNA Staffing Hours per Resident per Day
2.68579
Adjusted LPN Staffing Hours per Resident per Day
1.33524
Adjusted RN Staffing Hours per Resident per Day
0.76331
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64484
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
1
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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