Amelia Nursing Center - Amelia Nursing Home
General Information
UPDATEFederal Provider Number
495358
Provider Name
AMELIA NURSING CENTER
Provider Address
8830 VIRGINIA STREET
AMELIA, VA 23002
AMELIA, VA 23002
Provider Phone Number
8045615611
Provider SSA County
30
Provider County Name
Amelia
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMELIA, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57053
Reported LPN Staffing Hours per Resident per Day
1.15263
Reported RN Staffing Hours per Resident per Day
0.56947
Reported Licensed Staffing Hours per Resident per Day
1.72211
Reported Total Nurse Staffing Hours per Resident per Day
4.29263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05789
Expected CNA Staffing Hours per Resident per Day
2.44894
Expected LPN Staffing Hours per Resident per Day
0.62244
Expected RN Staffing Hours per Resident per Day
0.97178
Expected Total Nurse Staffing Hours per Resident per Day
4.04316
Adjusted CNA Staffing Hours per Resident per Day
2.57553
Adjusted LPN Staffing Hours per Resident per Day
1.53700
Adjusted RN Staffing Hours per Resident per Day
0.43786
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27962
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-02-22
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
0
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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