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AUTUMN LAKE HEALTHCARE AT LONG GREEN

Overall Rating

Address

115 East Melrose Avenue

Baltimore, MD 21212

Contact

4104359073

Certification Date

1967-02-14

Details

CMS Certification Number

215031

Ownership Type

For profit - Corporation

Number of Certified Beds

135

Average Number of Residents per Day

100.7

Provider Type

Medicare and Medicaid

Legal Business Name

115 EAST MELROSE OPCO LLC

Affiliated Entity Name

AUTUMN LAKE HEALTHCARE

Affiliated Entity ID

56

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.23971

Reported LPN Staffing Hours per Resident per Day

0.88103

Reported RN Staffing Hours per Resident per Day

0.59772

Reported Total Nurse Staffing Hours per Resident per Day

3.71846

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.34063

Registered Nurse Hours per Resident per Day on the Weekend

0.51455

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06532

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

120.667

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

40

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2019-08-08

Total Number of Health Deficiencies

36

Number of Standard Health Deficiencies

16

Number of Complaint Health Deficiencies

20

Health Deficiency Score

168

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

168

Rating Cycle 2

Standard Health Survey Date

2018-04-10

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

13

Number of Complaint Health Deficiencies

0

Health Deficiency Score

80

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

80

Rating Cycle 3

Standard Health Survey Date

2017-01-10

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

12

Number of Complaint Health Deficiencies

1

Health Deficiency Score

60

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

60

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0