Barbour County Good Samaritan Society - Belington Nursing Home
General Information
UPDATEFederal Provider Number
515116
Provider Name
BARBOUR COUNTY GOOD SAMARITAN SOCIETY
Provider Address
216 SAMARITAN CIRCLE
BELINGTON, WV 26250
BELINGTON, WV 26250
Provider Phone Number
(304) 823-2555
Provider SSA County
0
Provider County Name
Barbour
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.91064
Reported LPN Staffing Hours per Resident per Day
0.69681
Reported RN Staffing Hours per Resident per Day
0.60851
Reported Licensed Staffing Hours per Resident per Day
1.30532
Reported Total Nurse Staffing Hours per Resident per Day
3.21596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04149
Expected CNA Staffing Hours per Resident per Day
2.43113
Expected LPN Staffing Hours per Resident per Day
0.64081
Expected RN Staffing Hours per Resident per Day
0.96235
Expected Total Nurse Staffing Hours per Resident per Day
4.03429
Adjusted CNA Staffing Hours per Resident per Day
1.92838
Adjusted LPN Staffing Hours per Resident per Day
0.90253
Adjusted RN Staffing Hours per Resident per Day
0.47247
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21326
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-02-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
27
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
272
Cycle 2 Standard Health Survey Date
2012-07-24
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
190
Cycle 2 Total Health Score
462
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2010-02-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
216.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Mansfield Place
Po Box 930 |
PHILIPPI WV 26416 | 10.4 miles away