Autumn Care Of Suffolk - Suffolk Nursing Home
General Information
UPDATEFederal Provider Number
495258
Provider Name
AUTUMN CARE OF SUFFOLK
Provider Address
2580 PRUDEN BOULEVARD
SUFFOLK, VA 23434
SUFFOLK, VA 23434
Provider Phone Number
(757) 934-2363
Provider SSA County
892
Provider County Name
Suffolk City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1991-10-15
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
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39095
Reported LPN Staffing Hours per Resident per Day
1.03143
Reported RN Staffing Hours per Resident per Day
0.58524
Reported Licensed Staffing Hours per Resident per Day
1.61667
Reported Total Nurse Staffing Hours per Resident per Day
4.00762
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05429
Expected CNA Staffing Hours per Resident per Day
2.58777
Expected LPN Staffing Hours per Resident per Day
0.62425
Expected RN Staffing Hours per Resident per Day
0.84735
Expected Total Nurse Staffing Hours per Resident per Day
4.05937
Adjusted CNA Staffing Hours per Resident per Day
2.26708
Adjusted LPN Staffing Hours per Resident per Day
1.37138
Adjusted RN Staffing Hours per Resident per Day
0.51607
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97952
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
2013-11-08
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
36.66700
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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