Villa Rosa Nursing And Rehabilitation, Llc - Mitchellville Nursing Home
General Information
UPDATEFederal Provider Number
215350
Provider Name
VILLA ROSA NURSING AND REHABILITATION, LLC
Provider Address
3800 LOTTSFORD VISTA ROAD
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
Provider Phone Number
3014594700
Provider SSA County
160
Provider County Name
Prince Georges
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA ROSA NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2006-11-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73138
Reported LPN Staffing Hours per Resident per Day
0.97553
Reported RN Staffing Hours per Resident per Day
0.73457
Reported Licensed Staffing Hours per Resident per Day
1.71011
Reported Total Nurse Staffing Hours per Resident per Day
4.44148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12181
Expected CNA Staffing Hours per Resident per Day
2.57886
Expected LPN Staffing Hours per Resident per Day
0.71736
Expected RN Staffing Hours per Resident per Day
1.19910
Expected Total Nurse Staffing Hours per Resident per Day
4.49531
Adjusted CNA Staffing Hours per Resident per Day
2.59882
Adjusted LPN Staffing Hours per Resident per Day
1.12871
Adjusted RN Staffing Hours per Resident per Day
0.45774
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98263
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-30
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
25
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
23
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
24
Number of Substantiated Complaints
17
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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