The Villa - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215296
Provider Name
THE VILLA
Provider Address
6806 BELLONA AVENUE
BALTIMORE, MD 21212
BALTIMORE, MD 21212
Provider Phone Number
(410) 377-2450
Provider SSA County
20
Provider County Name
Baltimore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
17
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERCY VILLA CONVENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-09-06
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.50294
Reported LPN Staffing Hours per Resident per Day
1.25294
Reported RN Staffing Hours per Resident per Day
0.65294
Reported Licensed Staffing Hours per Resident per Day
1.90588
Reported Total Nurse Staffing Hours per Resident per Day
5.40882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.03376
Expected LPN Staffing Hours per Resident per Day
0.56422
Expected RN Staffing Hours per Resident per Day
0.87163
Expected Total Nurse Staffing Hours per Resident per Day
3.46961
Adjusted CNA Staffing Hours per Resident per Day
4.22625
Adjusted LPN Staffing Hours per Resident per Day
1.84315
Adjusted RN Staffing Hours per Resident per Day
0.55973
Adjusted Total Nurse Staffing Hours per Resident per Day
6.28382
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-05-01
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-05-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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