Ellenburg Nursing Center, Inc - Anderson Nursing Home

General Information

UPDATE
Federal Provider Number
425047
Provider Name
ELLENBURG NURSING CENTER, INC
Provider Address
611 EAST HAMPTON STREET
ANDERSON, SC 29624
Provider Phone Number
8642265054
Provider SSA County
30
Provider County Name
Anderson
Ownership Type
For profit - Corporation
Number of Certified Beds
181
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELLENBURG NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42912
Reported LPN Staffing Hours per Resident per Day
1.19676
Reported RN Staffing Hours per Resident per Day
0.38029
Reported Licensed Staffing Hours per Resident per Day
1.57706
Reported Total Nurse Staffing Hours per Resident per Day
4.00617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03353
Expected CNA Staffing Hours per Resident per Day
2.41940
Expected LPN Staffing Hours per Resident per Day
0.59221
Expected RN Staffing Hours per Resident per Day
0.86139
Expected Total Nurse Staffing Hours per Resident per Day
3.87300
Adjusted CNA Staffing Hours per Resident per Day
2.46356
Adjusted LPN Staffing Hours per Resident per Day
1.67728
Adjusted RN Staffing Hours per Resident per Day
0.32988
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16950
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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