Hagerstown Healthcare Center
750 Dual Highway, Hagerstown, MD 21740


Hagerstown Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 215336. The address is 750 Dual Highway, Hagerstown, MD 21740. The zip code is 21740. The phone number is 3017974020.


Hagerstown Healthcare Center · 750 Dual Highway, Hagerstown, MD 21740

Federal Provider Number 215336
Provider Name HAGERSTOWN HEALTHCARE CENTER
Address 750 DUAL HIGHWAY
HAGERSTOWN, MD 21740
Phone Number 3017974020
SSA County Code 210
County Name Washington
Ownership Type For profit - Corporation
Certified Beds 140
Certified Beds Residents 119
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BEVERLY ENTERPRISES - MARYLAND, INC.
Date First Approved to Provide Medicare Medicaid Services 11/06/2000
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 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.61471
Reported LPN Staffing Hours per Resident per Day 0.60336
Reported RN Staffing Hours per Resident per Day 0.63277
Reported Licensed Staffing Hours per Resident per Day 1.23613
Reported Total Nurse Staffing Hours per Resident per Day 2.85084
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04076
Expected CNA Staffing Hours per Resident per Day 2.49222
Expected LPN Staffing Hours per Resident per Day 0.65507
Expected RN Staffing Hours per Resident per Day 1.02868
Expected Total Nurse Staffing Hours per Resident per Day 4.17598
Adjusted CNA Staffing Hours per Resident per Day 1.58975
Adjusted LPN Staffing Hours per Resident per Day 0.76448
Adjusted RN Staffing Hours per Resident per Day 0.45962
Adjusted Total Nurse Staffing Hours per Resident per Day 2.7518
Cycle 1 Total Number of Health Deficiencies 27
Cycle 1 Number of Standard Health Deficiencies 25
Cycle 1 Number of Complaint Health Deficiencies 26
Cycle 1 Health Deficiency Score 252
Cycle 1 Standard Survey Health Date 09/20/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 252
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 96
Cycle 2 Standard Health Survey Date 07/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 96
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 04/24/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 167.333
Number of Facility Reported Incidents 14
Number of Substantiated Complaints 7
Number of Fines 1
Total Amount of Fines in Dollars $1406.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Hagerstown Healthcare Center

Owner Name Role Association Date
BEVERLY ENTERPRISES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/1985
BEVERLY ENTERPRISES INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/22/2007
BEVERLY HEALTH AND REHABILITATION SERVICES, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/31/1985
CHAVIS, TINA (Individual) OFFICER since 08/15/2006
CITIBANK N.A. (Organization) 5% OR GREATER SECURITY INTEREST since 05/04/2011
DOWNING, DELBERT (Individual) MANAGING EMPLOYEE since 01/20/2014
DRUMM MERGER CO (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FINN, NICHOLAS (Individual) OFFICER since 11/03/2009
HELM, PAUL (Individual) OFFICER since 01/02/2012
JOSEPH, LARRY (Individual) OFFICER since 08/15/2006
KARICHER, MICHAEL (Individual) OFFICER since 01/02/2012
PEARL SENIOR CARE, LLC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
RASMUSSEN-JONES, HOLLY (Individual) OFFICER since 08/15/2006
ROBERTS, MAUREEN (Individual) DIRECTOR since 01/07/2007
ROGERS, STACEY (Individual) OFFICER since 04/19/2012
SALAMONE, SALVATORE (Individual) OFFICER since 01/15/2007
SWARTZ, GREGORY (Individual) OFFICER since 08/15/2006
TRUITT, ANN (Individual) OFFICER since 08/15/2006
VARDELL, KATHLEEN (Individual) OFFICER since 08/01/2012
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
WILLIAMS, ROBERTA (Individual) OFFICER since 08/15/2006

21740 · Nursing Home

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Ravenwood Nursing Care Center 1183 Luther Drive, Hagerstown, MD 21740

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