St. Elizabeth Rehab. & Nsg. Ce - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215044
Provider Name
ST. ELIZABETH REHAB. & NSG. CE
Provider Address
3320 BENSON AVENUE
BALTIMORE, MD 21227
BALTIMORE, MD 21227
Provider Phone Number
(410) 644-7100
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
162
Number of Residents in Certified Beds
155
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JENKINS MEMORIAL NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1967-04-24
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.75935
Reported LPN Staffing Hours per Resident per Day
0.65387
Reported RN Staffing Hours per Resident per Day
0.49226
Reported Licensed Staffing Hours per Resident per Day
1.14613
Reported Total Nurse Staffing Hours per Resident per Day
3.90548
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20032
Expected CNA Staffing Hours per Resident per Day
2.46429
Expected LPN Staffing Hours per Resident per Day
0.59924
Expected RN Staffing Hours per Resident per Day
0.98573
Expected Total Nurse Staffing Hours per Resident per Day
4.04926
Adjusted CNA Staffing Hours per Resident per Day
2.74749
Adjusted LPN Staffing Hours per Resident per Day
0.90567
Adjusted RN Staffing Hours per Resident per Day
0.37314
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88777
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-01
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
17
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
17
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
34
Number of Substantiated Complaints
8
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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