Wilson Health Care Center - Gaithersburg Nursing Home
General Information
UPDATEFederal Provider Number
215099
Provider Name
WILSON HEALTH CARE CENTER
Provider Address
301 RUSSELL AVENUE
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
Provider Phone Number
(301) 330-3000
Provider SSA County
150
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
288
Number of Residents in Certified Beds
226
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASBURY ATLANTIC, INC
Date First Approved to Provide Medicare and Medicaid services
1975-04-10
Continuing Care Retirement Community
Y
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
4
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
3.08850
Reported LPN Staffing Hours per Resident per Day
0.39425
Reported RN Staffing Hours per Resident per Day
0.97235
Reported Licensed Staffing Hours per Resident per Day
1.36659
Reported Total Nurse Staffing Hours per Resident per Day
4.45510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04845
Expected CNA Staffing Hours per Resident per Day
2.48683
Expected LPN Staffing Hours per Resident per Day
0.57950
Expected RN Staffing Hours per Resident per Day
0.94669
Expected Total Nurse Staffing Hours per Resident per Day
4.01301
Adjusted CNA Staffing Hours per Resident per Day
3.04735
Adjusted LPN Staffing Hours per Resident per Day
0.56468
Adjusted RN Staffing Hours per Resident per Day
0.76746
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47496
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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