Agape Nursing & Rehab Center - West Columbia Nursing Home
General Information
UPDATEFederal Provider Number
425379
Provider Name
AGAPE NURSING & REHAB CENTER
Provider Address
300 AGAPE DRIVE
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
Provider Phone Number
(803) 739-5282
Provider SSA County
310
Provider County Name
Lexington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AGAPE NURSING & REHABILITATION, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-03-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54085
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.93902
Reported Licensed Staffing Hours per Resident per Day
1.93902
Reported Total Nurse Staffing Hours per Resident per Day
4.47987
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25244
Expected CNA Staffing Hours per Resident per Day
2.41979
Expected LPN Staffing Hours per Resident per Day
0.71308
Expected RN Staffing Hours per Resident per Day
1.34414
Expected Total Nurse Staffing Hours per Resident per Day
4.47700
Adjusted CNA Staffing Hours per Resident per Day
2.57646
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.07789
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03348
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
23
Cycle 2 Health Deficiency Score
276
Cycle 2 Standard Health Survey Date
2012-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
276
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2011-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
126.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
275217
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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