Autumn Care Of Portsmouth - Portsmouth Nursing Home
General Information
UPDATEFederal Provider Number
495194
Provider Name
AUTUMN CARE OF PORTSMOUTH
Provider Address
3610 WINCHESTER DR
PORTSMOUTH, VA 23707
PORTSMOUTH, VA 23707
Provider Phone Number
(757) 397-0725
Provider SSA County
711
Provider County Name
Portsmouth City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1989-06-22
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.07087
Reported LPN Staffing Hours per Resident per Day
1.19854
Reported RN Staffing Hours per Resident per Day
0.38350
Reported Licensed Staffing Hours per Resident per Day
1.58204
Reported Total Nurse Staffing Hours per Resident per Day
3.65291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02961
Expected CNA Staffing Hours per Resident per Day
2.35968
Expected LPN Staffing Hours per Resident per Day
0.58315
Expected RN Staffing Hours per Resident per Day
0.91342
Expected Total Nurse Staffing Hours per Resident per Day
3.85626
Adjusted CNA Staffing Hours per Resident per Day
2.15338
Adjusted LPN Staffing Hours per Resident per Day
1.70588
Adjusted RN Staffing Hours per Resident per Day
0.31371
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81834
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
24
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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