Sligo Creek Center - Takoma Park Nursing Home
General Information
UPDATEFederal Provider Number
215327
Provider Name
SLIGO CREEK CENTER
Provider Address
7525 CARROLL AVENUE
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
Provider Phone Number
(301) 270-4200
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
7525 CARROLL AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1999-12-09
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05909
Reported LPN Staffing Hours per Resident per Day
0.69899
Reported RN Staffing Hours per Resident per Day
0.52323
Reported Licensed Staffing Hours per Resident per Day
1.22222
Reported Total Nurse Staffing Hours per Resident per Day
3.28131
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13485
Expected CNA Staffing Hours per Resident per Day
2.41138
Expected LPN Staffing Hours per Resident per Day
0.67249
Expected RN Staffing Hours per Resident per Day
1.22932
Expected Total Nurse Staffing Hours per Resident per Day
4.31320
Adjusted CNA Staffing Hours per Resident per Day
2.09522
Adjusted LPN Staffing Hours per Resident per Day
0.86270
Adjusted RN Staffing Hours per Resident per Day
0.31803
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06655
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
26
Cycle 1 Health Deficiency Score
167
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
167
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
123.50000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
79788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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