Waldorf Center - Waldorf Nursing Home
General Information
UPDATEFederal Provider Number
215273
Provider Name
WALDORF CENTER
Provider Address
4140 OLD WASHINGTON HIGHWAY
WALDORF, MD 20602
WALDORF, MD 20602
Provider Phone Number
3016452813
Provider SSA County
80
Provider County Name
Charles
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
4140 OLD WASHINGTON HIGHWAY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1995-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.81682
Reported LPN Staffing Hours per Resident per Day
0.85182
Reported RN Staffing Hours per Resident per Day
0.81909
Reported Licensed Staffing Hours per Resident per Day
1.67091
Reported Total Nurse Staffing Hours per Resident per Day
3.48773
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08909
Expected CNA Staffing Hours per Resident per Day
2.60138
Expected LPN Staffing Hours per Resident per Day
0.74739
Expected RN Staffing Hours per Resident per Day
1.24668
Expected Total Nurse Staffing Hours per Resident per Day
4.59545
Adjusted CNA Staffing Hours per Resident per Day
1.71368
Adjusted LPN Staffing Hours per Resident per Day
0.94597
Adjusted RN Staffing Hours per Resident per Day
0.49092
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05926
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-07-31
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
13
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
10
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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