Williamsport Nursing Home - Williamsport Nursing Home
General Information
UPDATEFederal Provider Number
215198
Provider Name
WILLIAMSPORT NURSING HOME
Provider Address
154 N. ARTIZAN STREET
WILLIAMSPORT, MD 21795
WILLIAMSPORT, MD 21795
Provider Phone Number
(301) 223-7971
Provider SSA County
210
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
121
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GERIATRIC ASSOC BROOK
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.79602
Reported LPN Staffing Hours per Resident per Day
0.82257
Reported RN Staffing Hours per Resident per Day
0.58982
Reported Licensed Staffing Hours per Resident per Day
1.41239
Reported Total Nurse Staffing Hours per Resident per Day
4.20841
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05575
Expected CNA Staffing Hours per Resident per Day
2.46284
Expected LPN Staffing Hours per Resident per Day
0.63188
Expected RN Staffing Hours per Resident per Day
1.11389
Expected Total Nurse Staffing Hours per Resident per Day
4.20860
Adjusted CNA Staffing Hours per Resident per Day
2.78565
Adjusted LPN Staffing Hours per Resident per Day
1.08048
Adjusted RN Staffing Hours per Resident per Day
0.39565
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03071
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-01-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-12-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-08-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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