Sanctuary At Holy Cross - Burtonsville Nursing Home
General Information
UPDATEFederal Provider Number
215315
Provider Name
SANCTUARY AT HOLY CROSS
Provider Address
3415 GREENCASTLE ROAD
BURTONSVILLE, MD 20866
BURTONSVILLE, MD 20866
Provider Phone Number
3013881400
Provider SSA County
150
Provider County Name
Montgomery
Ownership Type
Non profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLY CROSS CARENET INC
Date First Approved to Provide Medicare and Medicaid services
1998-12-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00839
Reported LPN Staffing Hours per Resident per Day
0.90559
Reported RN Staffing Hours per Resident per Day
0.87587
Reported Licensed Staffing Hours per Resident per Day
1.78147
Reported Total Nurse Staffing Hours per Resident per Day
3.78985
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21469
Expected CNA Staffing Hours per Resident per Day
2.54064
Expected LPN Staffing Hours per Resident per Day
0.65714
Expected RN Staffing Hours per Resident per Day
1.13133
Expected Total Nurse Staffing Hours per Resident per Day
4.32911
Adjusted CNA Staffing Hours per Resident per Day
1.93967
Adjusted LPN Staffing Hours per Resident per Day
1.14380
Adjusted RN Staffing Hours per Resident per Day
0.57848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52879
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
20
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-03-07
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
12
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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