Overall Rating
Address
4204 Old Milford Mill Road
Baltimore, MD 21208
Contact
4104861500
Certification Date
1967-01-01
CMS Certification Number
215022
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Average Number of Residents per Day
96.6
Provider Type
Medicare and Medicaid
Legal Business Name
KING DAVID AT AUTUMN LAKE LLC
Affiliated Entity Name
AUTUMN LAKE HEALTHCARE
Affiliated Entity ID
56
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.57667
Reported LPN Staffing Hours per Resident per Day
0.99055
Reported RN Staffing Hours per Resident per Day
0.37781
Reported Total Nurse Staffing Hours per Resident per Day
3.94503
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.62183
Registered Nurse Hours per Resident per Day on the Weekend
0.31197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15448
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
89.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2021-04-30
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
24
Number of Complaint Health Deficiencies
2
Health Deficiency Score
120
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
120
Standard Health Survey Date
2018-10-24
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
0
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Standard Health Survey Date
2017-07-12
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
6
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0