Western Md Hospital Center - Hagerstown Nursing Home

General Information

UPDATE
Federal Provider Number
215110
Provider Name
WESTERN MD HOSPITAL CENTER
Provider Address
1500 PENNSYLVANIA AVENUE
HAGERSTOWN, MD 21742
Provider Phone Number
(301) 745-4200
Provider SSA County
210
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
63
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
1
Health Inspection Rating Footnote
QM Rating
3
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
3.19783
Reported LPN Staffing Hours per Resident per Day
0.94891
Reported RN Staffing Hours per Resident per Day
2.57609
Reported Licensed Staffing Hours per Resident per Day
3.52500
Reported Total Nurse Staffing Hours per Resident per Day
6.72283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05543
Expected CNA Staffing Hours per Resident per Day
2.74226
Expected LPN Staffing Hours per Resident per Day
1.03538
Expected RN Staffing Hours per Resident per Day
1.36972
Expected Total Nurse Staffing Hours per Resident per Day
5.14736
Adjusted CNA Staffing Hours per Resident per Day
2.86133
Adjusted LPN Staffing Hours per Resident per Day
0.76068
Adjusted RN Staffing Hours per Resident per Day
1.40529
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26465
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
1204
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
843
Cycle 1 Total Health Score
2047
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
1048.17000
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
285123
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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