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FOREST HAVEN NURSING AND REHABILITATION CTR

Overall Rating

Cited for abuse

Address

701 Edmondson Avenue

Catonsville, MD 21228

Contact

4107477425

Certification Date

1993-08-01

Details

CMS Certification Number

215252

Ownership Type

For profit - Corporation

Number of Certified Beds

167

Average Number of Residents per Day

126.9

Provider Type

Medicare and Medicaid

Legal Business Name

CATONSVILLE HEALTH CARE LLC

Affiliated Entity Name

FUNDAMENTAL HEALTHCARE

Affiliated Entity ID

231

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.12547

Reported LPN Staffing Hours per Resident per Day

0.90238

Reported RN Staffing Hours per Resident per Day

0.31886

Reported Total Nurse Staffing Hours per Resident per Day

3.34671

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

2.94394

Registered Nurse Hours per Resident per Day on the Weekend

0.16858

Reported Physical Therapist Staffing Hours per Resident Per Day

0.01501

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

102.500

Number of Facility Reported Incidents

18

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

2

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-08-02

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

13

Number of Complaint Health Deficiencies

4

Health Deficiency Score

68

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

68

Rating Cycle 2

Standard Health Survey Date

2020-02-27

Total Number of Health Deficiencies

12

Number of Standard Health Deficiencies

12

Number of Complaint Health Deficiencies

0

Health Deficiency Score

60

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

60

Rating Cycle 3

Standard Health Survey Date

2018-08-30

Total Number of Health Deficiencies

18

Number of Standard Health Deficiencies

16

Number of Complaint Health Deficiencies

2

Health Deficiency Score

291

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

291

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

157700.00

Number of Payment Denials

0

Total Number of Penalties

1