Rockville Nursing Home - Rockville Nursing Home
General Information
UPDATEFederal Provider Number
215107
Provider Name
ROCKVILLE NURSING HOME
Provider Address
303 ADCLARE ROAD
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
Provider Phone Number
3012799000
Provider SSA County
150
Provider County Name
Montgomery
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROCKVILLE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-03-01
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
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
4.32667
Reported LPN Staffing Hours per Resident per Day
1.00800
Reported RN Staffing Hours per Resident per Day
1.07733
Reported Licensed Staffing Hours per Resident per Day
2.08533
Reported Total Nurse Staffing Hours per Resident per Day
6.41200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07600
Expected CNA Staffing Hours per Resident per Day
2.64641
Expected LPN Staffing Hours per Resident per Day
0.63419
Expected RN Staffing Hours per Resident per Day
0.93190
Expected Total Nurse Staffing Hours per Resident per Day
4.21250
Adjusted CNA Staffing Hours per Resident per Day
4.01161
Adjusted LPN Staffing Hours per Resident per Day
1.31922
Adjusted RN Staffing Hours per Resident per Day
0.86381
Adjusted Total Nurse Staffing Hours per Resident per Day
6.13559
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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