Severna Park Center - Severna Park Nursing Home
General Information
UPDATEFederal Provider Number
215143
Provider Name
SEVERNA PARK CENTER
Provider Address
310 GENESIS WAY
SEVERNA PARK, MD 21146
SEVERNA PARK, MD 21146
Provider Phone Number
4105444220
Provider SSA County
10
Provider County Name
Anne Arundel
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
24 TRUCKHOUSE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1982-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.09963
Reported LPN Staffing Hours per Resident per Day
0.66444
Reported RN Staffing Hours per Resident per Day
0.94259
Reported Licensed Staffing Hours per Resident per Day
1.60704
Reported Total Nurse Staffing Hours per Resident per Day
3.70666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16667
Expected CNA Staffing Hours per Resident per Day
2.40229
Expected LPN Staffing Hours per Resident per Day
0.60546
Expected RN Staffing Hours per Resident per Day
1.08754
Expected Total Nurse Staffing Hours per Resident per Day
4.09529
Adjusted CNA Staffing Hours per Resident per Day
2.14456
Adjusted LPN Staffing Hours per Resident per Day
0.91086
Adjusted RN Staffing Hours per Resident per Day
0.64761
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64838
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-15
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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