Spa Creek Center - Annapolis Nursing Home
General Information
UPDATEFederal Provider Number
215258
Provider Name
SPA CREEK CENTER
Provider Address
35 MILKSHAKE LANE
ANNAPOLIS, MD 21403
ANNAPOLIS, MD 21403
Provider Phone Number
(410) 269-5100
Provider SSA County
10
Provider County Name
Anne Arundel
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
35 MILKSHAKE LANE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-06
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
1.51529
Reported LPN Staffing Hours per Resident per Day
0.97397
Reported RN Staffing Hours per Resident per Day
1.80413
Reported Licensed Staffing Hours per Resident per Day
2.77810
Reported Total Nurse Staffing Hours per Resident per Day
4.29339
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23347
Expected CNA Staffing Hours per Resident per Day
2.29192
Expected LPN Staffing Hours per Resident per Day
0.61761
Expected RN Staffing Hours per Resident per Day
1.19599
Expected Total Nurse Staffing Hours per Resident per Day
4.10552
Adjusted CNA Staffing Hours per Resident per Day
1.62225
Adjusted LPN Staffing Hours per Resident per Day
1.30892
Adjusted RN Staffing Hours per Resident per Day
1.12714
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21536
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
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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