Wicomico Nursing Home - Salisbury Nursing Home
General Information
UPDATEFederal Provider Number
215007
Provider Name
WICOMICO NURSING HOME
Provider Address
P.O. BOX 2378 900 BOOTH ST
SALISBURY, MD 21802
SALISBURY, MD 21802
Provider Phone Number
(410) 742-8896
Provider SSA County
220
Provider County Name
Wicomico
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
102
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WICOMICO NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1972-09-24
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
4
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
2.89362
Reported LPN Staffing Hours per Resident per Day
0.28777
Reported RN Staffing Hours per Resident per Day
0.87979
Reported Licensed Staffing Hours per Resident per Day
1.16755
Reported Total Nurse Staffing Hours per Resident per Day
4.06118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.45460
Expected LPN Staffing Hours per Resident per Day
0.63515
Expected RN Staffing Hours per Resident per Day
0.97803
Expected Total Nurse Staffing Hours per Resident per Day
4.06777
Adjusted CNA Staffing Hours per Resident per Day
2.89256
Adjusted LPN Staffing Hours per Resident per Day
0.37605
Adjusted RN Staffing Hours per Resident per Day
0.67215
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02437
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-05
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
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
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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