Agape Rehabilitation Of Rock Hill - Rock Hill Nursing Home
General Information
UPDATEFederal Provider Number
425159
Provider Name
AGAPE REHABILITATION OF ROCK HILL
Provider Address
159 SEDGEWOOD DR
ROCK HILL, SC 29732
ROCK HILL, SC 29732
Provider Phone Number
(803) 329-6565
Provider SSA County
450
Provider County Name
York
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EBENEZER SENIOR SERVICES, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-05-06
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.99128
Reported LPN Staffing Hours per Resident per Day
0.50174
Reported RN Staffing Hours per Resident per Day
1.33953
Reported Licensed Staffing Hours per Resident per Day
1.84128
Reported Total Nurse Staffing Hours per Resident per Day
4.83255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21919
Expected CNA Staffing Hours per Resident per Day
2.61006
Expected LPN Staffing Hours per Resident per Day
0.67108
Expected RN Staffing Hours per Resident per Day
0.97841
Expected Total Nurse Staffing Hours per Resident per Day
4.25955
Adjusted CNA Staffing Hours per Resident per Day
2.81208
Adjusted LPN Staffing Hours per Resident per Day
0.62056
Adjusted RN Staffing Hours per Resident per Day
1.02298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57314
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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