Transitional Care At Good Samaritan - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215280
Provider Name
TRANSITIONAL CARE AT GOOD SAMARITAN
Provider Address
5601 LOCH RAVEN BOULEVARD
BALTIMORE, MD 21239
BALTIMORE, MD 21239
Provider Phone Number
(443) 444-4070
Provider SSA County
30
Provider County Name
Baltimore City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Date First Approved to Provide Medicare and Medicaid services
1996-01-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
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
2.71034
Reported LPN Staffing Hours per Resident per Day
0.48793
Reported RN Staffing Hours per Resident per Day
3.15000
Reported Licensed Staffing Hours per Resident per Day
3.63793
Reported Total Nurse Staffing Hours per Resident per Day
6.34827
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47069
Expected CNA Staffing Hours per Resident per Day
2.17515
Expected LPN Staffing Hours per Resident per Day
0.66142
Expected RN Staffing Hours per Resident per Day
1.50353
Expected Total Nurse Staffing Hours per Resident per Day
4.34009
Adjusted CNA Staffing Hours per Resident per Day
3.05743
Adjusted LPN Staffing Hours per Resident per Day
0.61229
Adjusted RN Staffing Hours per Resident per Day
1.56544
Adjusted Total Nurse Staffing Hours per Resident per Day
5.89601
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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