Sibley Mem Hosp Renaissance
5255 Loughboro Road Nw, Washington, DC 20016


Sibley Mem Hosp Renaissance is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 095030. The address is 5255 Loughboro Road Nw, Washington, DC 20016. The zip code is 20016. The phone number is 2025374000.


Sibley Mem Hosp Renaissance · 5255 Loughboro Road Nw, Washington, DC 20016

Federal Provider Number 095030
Provider Name SIBLEY MEM HOSP RENAISSANCE
Address 5255 LOUGHBORO ROAD NW
WASHINGTON, DC 20016
Phone Number 2025374000
County Name The District
Ownership Type Non profit - Corporation
Certified Beds 45
Certified Beds Residents 33
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE
Date First Approved to Provide Medicare Medicaid Services 05/27/1994
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.60909
Reported LPN Staffing Hours per Resident per Day 0.57121
Reported RN Staffing Hours per Resident per Day 4.39091
Reported Licensed Staffing Hours per Resident per Day 4.96212
Reported Total Nurse Staffing Hours per Resident per Day 7.57121
Reported Physical Therapist Staffing Hours per Resident Per Day 1.15303
Expected CNA Staffing Hours per Resident per Day 2.26319
Expected LPN Staffing Hours per Resident per Day 0.76521
Expected RN Staffing Hours per Resident per Day 1.86174
Expected Total Nurse Staffing Hours per Resident per Day 4.89014
Adjusted CNA Staffing Hours per Resident per Day 2.82872
Adjusted LPN Staffing Hours per Resident per Day 0.61957
Adjusted RN Staffing Hours per Resident per Day 1.76227
Adjusted Total Nurse Staffing Hours per Resident per Day 6.24088
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 09/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Health Deficiency Score 32
Cycle 2 Standard Health Survey Date 08/24/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 32
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 09/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 40.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Sibley Mem Hosp Renaissance

Owner Name Role Association Date
ABBRUZZESE, MARK (Individual) DIRECTOR since 01/01/2017
AMMERMAN, JOSHUA (Individual) DIRECTOR since 12/09/2013
ARGO, ARCHIE (Individual) DIRECTOR since 10/22/2004
ARNOTT, ALISON (Individual) MANAGING EMPLOYEE since 11/18/2011
BARTON, WILLIAM (Individual) DIRECTOR since 05/23/1997
BASSO, MARTIN (Individual) OFFICER since 11/30/2005
BRANSON, ROBERT (Individual) DIRECTOR since 06/09/2014
BROWN, GEOFFREY (Individual) DIRECTOR since 05/27/2009
CARTER, JOYCE (Individual) DIRECTOR since 05/26/2000
CASTELLANI, JOHN (Individual) DIRECTOR since 07/01/2016
COCHRAN, CHARLES (Individual) DIRECTOR since 05/23/2007
COHEN, DAVID (Individual) DIRECTOR since 06/09/2014
DAVIS, RICHARD (Individual) OFFICER since 07/05/2012
ERICKSON, PAUL (Individual) DIRECTOR since 05/23/2009
FARR, MICHAEL (Individual) DIRECTOR since 01/24/2003
HAYES, BURKE (Individual) DIRECTOR since 07/26/2006
HOSCHEIT, DALE (Individual) DIRECTOR since 10/11/1974
HOWE, NILOO (Individual) DIRECTOR since 05/26/2010
MEZAN, LAURA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2010
MILLER, EDWARD (Individual) DIRECTOR since 05/13/1988
MILLER, JOANNE (Individual) OFFICER since 08/14/2014
MORRIS, RICHARD (Individual) DIRECTOR since 05/23/2007
PAGANO, PRISCILLA (Individual) DIRECTOR since 07/25/2007
PAUL, MARTIN (Individual) DIRECTOR since 07/01/2016
PETERSON, RONALD (Individual) DIRECTOR since 12/15/2010
PRICE, JERRY (Individual) OFFICER since 03/01/2009
RAMUNNO, LAWRENCE (Individual) OFFICER since 07/01/2014
ROCKEFELLER, SHARON (Individual) DIRECTOR since 01/26/2011
ROSS, CHARLES (Individual) DIRECTOR since 05/23/2007
SCHAEFER, THOMAS (Individual) DIRECTOR since 10/09/1987
SHAFA, CAROLINE (Individual) OFFICER since 05/01/2013
SILBERMAN, ROBERT (Individual) DIRECTOR since 07/01/2016
THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2010
TRAUTMAN, DEBORAH (Individual) DIRECTOR since 07/01/2015

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