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AUTUMN LAKE HEALTHCARE AT ARLINGTON WEST

Overall Rating

Address

3939 Penhurst Avenue

Baltimore, MD 21215

Contact

4106649535

Certification Date

2005-04-04

Details

CMS Certification Number

215349

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

82

Average Number of Residents per Day

79.1

Provider Type

Medicare and Medicaid

Legal Business Name

ARLINGTON WEST CARE CENTER OPCO LLC

Affiliated Entity Name

AUTUMN LAKE HEALTHCARE

Affiliated Entity ID

56

Ratings

Health Inspection Rating

2

Quality Measure Rating

5

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.08232

Reported LPN Staffing Hours per Resident per Day

0.81321

Reported RN Staffing Hours per Resident per Day

0.72514

Reported Total Nurse Staffing Hours per Resident per Day

3.62068

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

3.22874

Registered Nurse Hours per Resident per Day on the Weekend

0.58426

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05491

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

96.667

Number of Facility Reported Incidents

7

Number of Substantiated Complaints

7

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-05-06

Total Number of Health Deficiencies

28

Number of Standard Health Deficiencies

28

Number of Complaint Health Deficiencies

12

Health Deficiency Score

156

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

156

Rating Cycle 2

Standard Health Survey Date

2018-11-01

Total Number of Health Deficiencies

12

Number of Standard Health Deficiencies

12

Number of Complaint Health Deficiencies

0

Health Deficiency Score

48

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

48

Rating Cycle 3

Standard Health Survey Date

2017-07-27

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

1644.50

Number of Payment Denials

0

Total Number of Penalties

2