Nursing Home

GOOD SAMARITAN NURSING HOME OPERATOR, LLC

Overall Rating

Address

1601 East Belvedere Avenue

Baltimore, MD 21239

Contact

4105325600

Certification Date

1992-06-05

Details

CMS Certification Number

215241

Ownership Type

For profit - Corporation

Number of Certified Beds

146

Average Number of Residents per Day

129.9

Provider Type

Medicare and Medicaid

Legal Business Name

GSNH OPERATOR LLC

Affiliated Entity Name

FUTURE CARE/LIFEBRIDGE HEALTH

Affiliated Entity ID

232

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.23984

Reported LPN Staffing Hours per Resident per Day

0.90739

Reported RN Staffing Hours per Resident per Day

0.77439

Reported Total Nurse Staffing Hours per Resident per Day

3.92162

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

3.58152

Registered Nurse Hours per Resident per Day on the Weekend

0.57701

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05126

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

52.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-07-15

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 2

Standard Health Survey Date

2018-08-14

Total Number of Health Deficiencies

23

Number of Standard Health Deficiencies

23

Number of Complaint Health Deficiencies

0

Health Deficiency Score

108

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

108

Rating Cycle 3

Standard Health Survey Date

2017-04-21

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

3250.00

Number of Payment Denials

0

Total Number of Penalties

1