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AUTUMN LAKE HEALTHCARE AT ALICE MANOR

Overall Rating

Address

2095 Rockrose Avenue

Baltimore, MD 21211

Contact

4108899700

Certification Date

1990-02-01

Details

CMS Certification Number

215215

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

105

Average Number of Residents per Day

84.9

Provider Type

Medicare and Medicaid

Legal Business Name

ALICE OPERATOR LLC

Affiliated Entity Name

AUTUMN LAKE HEALTHCARE

Affiliated Entity ID

56

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.90961

Reported LPN Staffing Hours per Resident per Day

0.94121

Reported RN Staffing Hours per Resident per Day

0.45501

Reported Total Nurse Staffing Hours per Resident per Day

3.30582

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

2.90022

Registered Nurse Hours per Resident per Day on the Weekend

0.41860

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06386

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

78.000

Number of Facility Reported Incidents

4

Number of Substantiated Complaints

1

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-06-14

Total Number of Health Deficiencies

23

Number of Standard Health Deficiencies

23

Number of Complaint Health Deficiencies

10

Health Deficiency Score

120

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

120

Rating Cycle 2

Standard Health Survey Date

2018-09-12

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Rating Cycle 3

Standard Health Survey Date

2017-05-10

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

3

Health Deficiency Score

60

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

60

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

994.10

Number of Payment Denials

0

Total Number of Penalties

1