Autumn Care Of Altavista - Altavista Nursing Home
General Information
UPDATEFederal Provider Number
495196
Provider Name
AUTUMN CARE OF ALTAVISTA
Provider Address
1317 LOLA AVE
ALTAVISTA, VA 24517
ALTAVISTA, VA 24517
Provider Phone Number
(434) 369-6651
Provider SSA County
150
Provider County Name
Campbell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1989-07-21
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.94596
Reported LPN Staffing Hours per Resident per Day
0.79798
Reported RN Staffing Hours per Resident per Day
0.44343
Reported Licensed Staffing Hours per Resident per Day
1.24141
Reported Total Nurse Staffing Hours per Resident per Day
3.18737
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05758
Expected CNA Staffing Hours per Resident per Day
2.43870
Expected LPN Staffing Hours per Resident per Day
0.57802
Expected RN Staffing Hours per Resident per Day
0.91384
Expected Total Nurse Staffing Hours per Resident per Day
3.93056
Adjusted CNA Staffing Hours per Resident per Day
1.95793
Adjusted LPN Staffing Hours per Resident per Day
1.14585
Adjusted RN Staffing Hours per Resident per Day
0.36257
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26874
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
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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